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PATHOLOGICAL CATALOGUE
OP THE
MUSEUM OF GUY’S HOSPITAL.
DISEASES OF THE SUPKARENAL CAPSULES, URINARY,
AND MALE GENITAL ORGANS.
A
6 -V
By SAMUEL WILKS, M.D., Lon din.
FELLOW OP THE ROYAL COLLEGE OF PHYSICIANS; ASSISTANT PHYSICIAN TO GUY’s HOSPITAL;
LECTURER ON PATHOLOGY; AND CURATOR OP THE MUSEUM.
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LONDON :
WILLIAM MACKENZIE, 22 PATERNOSTER ROW,
MDCCCLXL
LONDON:
PRINTED BY WILLIAM MACKENZIE, 22 PATERNOSTER ROW.
ANALYTICAL INDEX
DISEASES OF THE SUPRARENAL
CAPSULES.
Fcetal Kidney, with suprarenal body, 2020.
Addison’s Disease, 202025, 202050, 202055, 202057, 20206o, 202062, 202064, 202055,
202068, 202070, 20208°, 202085, 202090, 202095, 2021, 20215, 202110, 20213o, 202140,
20229, 2022H, 202212.
Lardaceous, 202115.
Cancer, 202135, 202160, 202183, 202190, 2022, 2022®, 202210.
Epithelial, 202213.
Fatty, 20224,
DISEASES OF THE URINARY
ORGANS.
KIDNEY.
Malformation.
Distorted, 202256, 202 270, 202275, 202280.
Misplaced, 202256, 202260.
United (horse-shoe), 2023, 202350, 2024.
Lobulated, 202410.
Hypertrophy and Atrophy combined, 202224, 202228, 2026, 20261°, 202630,
Atrophy alone, 202226, 202280, 202235, 202242, 203586, 202228, 20728°.
Inflammation.
In scarlatina, 20 3 56S, 203575, 203580.
Suppuration, 2032, 2033, 203514, 203528, 203542, 206516, 206532.
With pyelitis from structure, &c., 203125, 203584, 2031so.
With pyaemia, 303320, 203310 (?).
Bright’s Disease (as described by Bright himself).
Mottled kidneys, 203630, 203032, 203664, 2037, 20371, 20373s, 2037s0,
2038, 20381 20402S, 204240.
Chronic mottling, 203864, 2040s0, 2041s0.
Granular degeneration, 204012, 202226, 202235, 202230, 202242, 20401S,
204260, 204275, 204280, 2043s0, 20 3586.
Disease of malpighian bodies, 2036.
Lardaceous, 2036s.
Cysts, 2043s0, 2046, 204632, 204640, 204664, 2044, 204670, 2045, 204720, 2045s0, 20472S,
2047s0, 20477S, 2048, 204832, 204848, 204880, 2049, 2051, 206564.
Cavernous Tissue, 205964 (?).
Tubercular Disease, 2028, 2029, 203248, 2035s3, 203585, 203590, 2030, 2031, 203330,
2064, 20641°, 206870, 2069so.
Miliary tubercle, 203592, 203595.
Cancer, 2027 (?), 2054, 2055, 205624, 205630, 2056so, 2056ss, 205648, 205660, 205720,
2057°°, 205780, 2058, 2061, 2062, 2062s0, 207704, 207332.
Melanotic Do., 2062, 2062so.
Hydatid, 202284, 20471s, 204778, 204720 (?), 2104s6 (?).
Fibrinous Deposit, 203175, 20331°, 20 3 57S.
Bony Deposit, 2034.
Discoloration by nitrate of silver, 2024so.
Diseased Renal Arteries, 20401s, &c.
Obliterated Vein, 203560.
Injury, 2063.
PELVIS OF KIDNEY AND URETERS.
Malformation.
Three ureters to bladder, 2078, 2078s, 207916, 207920, 207932.
Distension, 2046, 204632, 204670, 202228, 20651°, 206532, 206548, 206564, 2066s0, 206660,
2067, 2067s0, 206832, 206880, 2069, 206932, 206964, 207760. 2070, 2071, 207764,
2080, 208025, 208050, 20807S, 2082, 2081s0, 2031so.
Contraction (of ureter), 2079°°, 207962.
Inflammation and Products, 2065s, 2069, 206932, 207964, 207972, 203125, 206516,
206532.
Tuberculous Disease, 207980, &c. — See Kidney.
Calculous, 206964, 2070, 2071, 2072, 207220, 207240, 207260, 207280, 207332, 207348,
207364,65? 207380, 2074, 2076, 20761°, 2077, 20771°, 207732, 2079s6, 210063, 227860.
Renal Calculi Distinct, 20773S, 207736, 207740, 207742, 207744, 207746, 207748,
2077s0, 2077s2, 2077s6, 2077s8.
URINARY BLADDER.
Malformation. 2083, 208320, 208340, 2083®°, 208380.
IV
Hypertrophy, 2084, 2085, 208912, 209140, 209156, 209188, 209160.
See also cases under Prostate and Stricture.
Atrophy, 208925, 2090.
Ulceration, 208975, 209264, 2093, 20945o, 2095, 2096, 2097, 2099, 209950, 2069, 2101.
Sloughing, 209 190.
Lithotomy and Stone, 209152, 209 180, 209248, 2101, 210475, 210479, 2 10465, 2 1 0460,
210468, 210476, 210478, 239850, 241236, 2514.
Sacculated, 2086, 208650, 208725, 208735, 208749, 20875o, 208775, 2088, 2089.
Calculus in Bladder, 2100, 210025, 210059, 210063, 2102, 241218, 209154.
Excrescence from Urethra in Female, 20926o, 209264.
Fibrin passed by urine, 209132, 210418.
Hydatids, 210440 (?), 2 1 0444, 2 1 0452,53, 2 1 0456, 21 0457,58.
Tuberculous, 209255, 203330, 21025, 210210.
Polypus, 210414, 210425, 210428, 210430, 210432.
Villous Disease, 21045 (?), 21047, 2103 (?}, 23965°.
Cancer, 208975, 21035o, 2104, 2104«, 209284 (?), 2 1 0444 (?), 21048, 21049, 210442, 2104™,
210414, 210417, 210436 (?).
Melanosis, 210426.
Injury and Perforation.
Lacerated from fractured pelvis, 210484, 210492, 210485, 21048C
From catheterism, 210490, 210491,
In lithotomy, 210475.
Rupture from disease, 208975, 2090, 208025.
Communicating with rectum, 209450, 2095.
Perforation by stone, 2102.
Puncture per rectum. — See Stricture.
CALCULI.
The following arrangement is somewhat after the manner of that
adopted at the Royal College of Surgeons, giving simply the com¬
position of the calculus, commencing with the nucleus.
Series 1. Uric Acid.*
“ 2. Urate of Ammonia.
“ 3. Oxalate of Lime.
u 4. Cystic Oxide.
“ 5. Xanthic Oxide.
“ 6. Phosphate of Lime.
“ 7. Phosphate of Magnesia and Ammonia.
“ 8. Fusible Calculus.
“ 9. Carbonate of Lime.
series i — calculi, of which the nucleus consists of uric acid.
Uric acid, 2105, 2106, 2107, 2108, 2109, 2110, 211025, 211050, 211075, 2112, 2113, 2114,
211435, 211450, 211480, 2115, 2117, 211750, 2118, 2120, 2125, 2126, 2127, 2128,
* It will be seen that the later chemists have mostly substituted the term uric for litliic acid.
V
2129, 2130, 2131, 2132, 2133, 2135, 21507®, 2213°, 2213^, 221321, 2213™, 2213s®,
221423, 22 1425, 221433, 221441, 221532, 221533, 22169, 221610, 2216^, 221612, 221614,
221619, 221620, 22 1622, 221626, 221627, 221632, 221636, 221637, 221640, 221642,
221633, 221635, 221657, 221639, 221660, 221661, 22171s, 221719, 221722, 221728, 221732,
221773, 221739, 221751, 221756, 221766, 22215, 22216, 222U2.
Uric acid, followed by urate of ammonia, 21135o, 221529, 22217.
Uric acid, followed by oxalate of lime, 214250, 2166, 2167, 2173, 2204, 2205, 2206,
2208, 221416, 2215s, 221513, 2215»7, 2219s, 2221°.
Uric acid, followed by earthy phosphates, 211470 211950, 212635, 216315, 216325, 2163s0,
2176, 2176s0, 2177, 2178, 2179, 2180, 2181, 218135, 218225, 2183, 2183s0, 218375,
2186, 2187, 219180, 2207, 2213s5, 2214i8, 221523, 221528, 221534, 2216s, 221 62i,
22 1623, 22 1629, 221630, 221631, 2216s4, 2216s0, 2216s8, 22171°, 221723, 221724, 221720,
221734.
Uric acid, phosphates, uric acid, 2184, 2185.
Uric acid, carbonate of lime, 2 1 8750, 22 1 617.
Uric acid, urate of ammonia, uric acid.
Uric acid, urate of ammonia, oxalate of lime, 221388, 221447, 221813.
Uric acid, urate of ammonia, phosphates, 212950, 218170, 221220, 22131°, 2215s, 2215®,
221514, 221525, 221526, 22153°, 221535.
The same, with urate of lime, 221235, 221294, 221517.
The same, with urate of soda, 221 22S, 2213, 22153i.
The same, with urates of soda and lime, 22 1 240.
Uric acid, urate of soda, urate of lime, and phosphates, 22 1 252, 22 1 253.
Uric acid, urate of ammonia, urate of lime, 2126s0, 2126°°, 212670, 2178s0, 221240,
221288.
Uric acid, urate of lime, uric acid, 2119.
Uric acid, urate of lime, and phosphates, 221232, 221270, 221283.
Uric acid, urate of soda, urate of lime, 2122, 2124.
Uric acid, oxalate of lime, uric acid, 2169, 2170, 2170s0, 2171, 2172, 22161S, 221633.
Uric acid, oxalate of lime, urate of ammonia, 220628, 22 1524.
The same, with phosphates, 2142°°, 220320, 2212s, 221438, 22143°, 221443, 221444, 2215°,
221511, 221512, 22 158, 221521.
The same, with phosphates and urate of lime, 22141S; and, with the addition of urate
of soda, 22 1510.
Uric acid, oxalate of lime, earthy phosphates, 215525, 2166s0, 2179so, 2 1 92, 2 1 9450,
2195, 2196, 21975o, 2198, 2199, 2200, 2201, 220135, 220614, 2206s6, 2209, 221370,
22 1520, 2220°.
The same, with urates of soda and ammonia, 2136.
Uric acid, oxalate of lime, and carbonate of lime, 22067s.
Uric acid, with cystic oxide, 2168.
SERIES II — NUCLEUS, URATE OF AMMONIA.
Urate of ammonia. 213600, 22 1222, 221223, 221634.
Urate of ammonia, followed by uric acid, 22 1422.
Urate of ammonia, oxalate of lime, 221381, 221429, 2214s3.
Y1
Urate of ammonia, earthy phosphates, 220250, 221410, 221413, 22 1410, 2214s*.
Urate of ammonia, uric acid, urate of ammonia.
Urate of ammonia, uric acid, urate of lime, 2216, 2121, 221215.
Urate of ammonia, uric acid, oxalate of lime, 220310, 221414.
The same, with phosphates, 220340, 220642, 221266, 221387.
Urate of ammonia, uric acid, earthy phosphates, 213650, 2212i0, 221260, 22145, 22148,
221421.
The same, with urate of soda, 221264.
Urate of ammonia, oxalate of lime, uric acid, 221424, 221426.
The same, with urate of soda, 221 386.
Urate of ammonia, oxalate of lime, urate of ammonia.
Urate of ammonia, oxalate of lime, earthy phosphates, 214220, 22146, 22147, 2214°,
221411, 221413, 221415, 221417, 22142°, 221427, 221428, 221430, 221433, 221449.
The same, with urate of lime, 221 35.
Urate of ammonia, urate of lime, phosphates, 221446.
Urate of lime and phosphates, 215436.
Urate of soda, 2137.
SERIES III - NUCLEUS, OXALATE OF LIME.
Oxalate of lime, 2138, 213814, 213828, 213830, 213842, 2 1 3856, 213870, 213884, 2139,
213925, 213935, 213950, 213975, 2140, 21405o, 2141, 2142, 214215, 22157, 22 1 63s,
221613, 2216«, 221650, 221727, 221729, 221737, 221752, 222110.
Oxalate of lime, uric acid, 2174, 2175, 2203, 2210, 221437, 22 1 67, 221613.
Oxalate of lime, urate of ammonia.
Oxalate of lime, earthy phosphates, 2 13860, 2 14230, 2 14240, 2 1 55, 2 1 88, 218835, 218870,
2189, 2190, 2191, 21914°, 219120, 221382, 221442, 22165, 22165i,52.
Oxalate of lime, uric acid, urate of ammonia, 217425.
Oxalate of lime, uric acid, oxalate of lime, 2221H.
Oxalate of lime, uric acid, earthy phosphates, 219160, 2193, 2194, 220170, 22 02, 220670.
220684, 221431, 221527.
The same, with urate of ammonia, 221380, 221385.
Oxalate of lime, urate of ammonia, uric acid.
Oxalate of lime, urate of ammonia, oxalate of lime.
Oxalate of lime, urate of ammonia, carbonate of lime, 211638, 220380.
Oxalate of lime, urate of ammonia, earthy phosphates, 214225, 2 1 7459, 2197, 220360.
The same, with urate of soda, 221270 ; and, with the addition of uric acid, 221522.
The same, with urates of lime and urate of soda, 221239.
Oxalate of lime, succeeded by four or more layers.
SERIES IV - CYSTIC OXIDE.
2143, 2144, 2145, 214535, 2145™, 2168.
SERIES V - XANTHIC OXIDE.
2145®°.
TU
SERIES VI - PHOSPHATE OK LIME.
2148, 2149, 2150, 215050, 2151, 215125, 21595°, 221515, 221519, 221729, 221725, 221731.
SERIES VII - PHOSPHATE OF MAGNESIA AND AMMONIA (TRIPLE).
215170, 2152, 2153, 2154, 215412, 215424, 215448, 2212.
SERIES VIII - PHOSPHATE OF MAGNESIA AND AMMONIA, WITH PHOSPHATE
OF LIME (FUSIBLE).
215460, 215472, 215484, 215550, 2156, 2157, 2158, 215850, 2159, 2160, 21605°, 2161,
2162, 2163, 2164, 21646o, 2211, 22151°, 221624, 221 625, 221628, 221635, 221639, 221717,
221744.
SERIES IX - CARBONATE OF LIME.
218270.
Coating others, several specimens.
Foreign bodies coated with calculous matter, 2146, 2147, 214750, 214751, 2152, 221323,
221324, 22 1325, 221320, 221436, 22172!, 221738, 221748, 221912.
Casts of calculi, 21912o, 2213t§, 221313, 221314, 221315, 221316, 221317, 221318, 221320,
22168.
Soft calculi, 209157, 209158.
Other calculi not analyzed, about 100 in number.
See also calculi in bladder and urethra; renal calculi, separate and in situ ; and
prostatic calculi, separate and in situ.
MALE GENITAL ORGANS.
TESTIS.
Undescended, 2339, 233912, 233925, 233950.
Atrophy, 233975.
Inflammation and Effects.
Suppuration, with fungus, 2341, 2342, 2344, 23441°, 2354, 2350.
Chronic or fibrous enlargement, 2340, 2350.
Chronic deposits, probably syphilitic, 2351 33, 235157, 235 158.
Do. doubtfully scrofulous, 2345, 2346, 2349, 234945,
234950, 235170.
Tubercle, 2343, 23501°, 2351°°, 2351°5, 235172, 235420.
Earthy Matter, 235125, 2351s7, 235150.
Fibro plastic, 235360, and under Cysto sarcoma,
viii
Cysto-sarcoma, or Fibro-cystic Disease, 2352, 235210, 235220, 235250, 2353, 2360^
23619° (?).
Carcinoma.
Scirrhous, 235176, 2352.
Medullary, 2356, 2357, 235850, 2359, 23605°, 2361, 236125, 23615<>, 236175,
236180, 236185, 236190.
Enchondroma, 2362, 23535o.
EPIDIDYMIS.
Tubercle, 2 3 63, 23635, 236350, 236550.
Carcinoma, 2365.
YAS DEFERENS AND VESICUL,E SEMINALES.
Injected Specimen, 2366.
Portion removed in operation, 236725.
Atrophy, 23665o, 23 6750, 23 6 770.
Ossific Deposit, 236744.
Tubercle, 2367, 23670o.
Fibro-plastic Tumor, 236720.
Carcinoma, 236625.
Melanosis, 236780.
Calculi, 236705.
TUNICA VAGINALIS.
Imperfect Development, 2268, 2369, 2377.
Inflammation and Effects.
Sloughing, 238175.
Effused lymph and adhesions, 2375, 2376, 2378, 2379, 237910>
2380, 2381, 238125, 238150.
Hydrocele, 2370, 237050, 2371, 237150, 2372, 237235, 2373, 2374, 2375, 2376, 237850,
2379, 238175, 238250.
Hydrocele of Cord, 23695o, 237270, 2378, 2371.
Encysted Hydrocele, 2377, 23855o.
Tunica Vaginalis Ossified, 2363, 23825o, 2383.
Loose Body in Sac, 23815o, 2382, 238225,
Hematocele, 235175, 2384, 238420, 238440, 238460, 2385.
SCROTUM.
Chimney-sweepers’ Cancer, 2386, 238650, 2387, 238735, 238770.
PROSTATE.
Hypertrophy, 2387s5, 238862, 2389, 238935, 23897o, 238975, 238980, 2390, 2391, 239125,
239150, and several under Bladder.
ix
Abscess, 239155, 2412*7.
Perforation by Catheter, 238970, 238980, 2391, 23915°.
Sacculated, 2398, 239825, 239840, 23988°, 2399.
Tubercle, 2 392, 23 93, 2 3 9375, 236798.
Calculi in Ducts, 2394, 239450, 239460, 239470, 2395, 239550, 2396, 23965°, 2397,
23975.
After Lithotomy, 239850, 21 0465.
PROSTATIC CALCULI.
2400, 240035, 240070, 2400*°.
URETHRA.
Stricture, 240138, 240175, 240187, 2402’°, 240225, 240250, 2403, 240350, 2405, 240525,
2406, 240750, 240775, 240785, 240810, 2409, 240920, 2410, 2411, 24129, 241218,
241220, 241227, 24123°, 241235, 2412*5, 241263, 24129°, and others under Bladder.
Puncture of Bladder per Rectum, 241220, 241230, 241235.
Injury, 241272, 241281.
Hypospadias, 239135 (?).
URETHRAL CALCULI.
2413, 24135°, 2414, 241450, 241475, 2415, 241550, 2416, 241635, 24167°, 24129° (?).
2417, 2418, 241 810.
CATHETER.
INTEGUMENTS OF PENIS.
Induration and Phymosis, 241940, 241 95°, 241 955.
Sloughing and Gangrene, 2419, 241920, 241995, 242755.
Chancre, 2419°°, 241980, 24199°, 2420, 24205o.
Epithelial Cancer, 2422, 24225°, 2423, 2424, 242410, 2425, 24 2 55, 24255°, 2427,
242720, 2427*°, 24276°, 2428, 2427«5, 2427™, 24285, 242810, 2427*5, 24276°.
Self-amputation, 242780.
Calculus, 2429.
MALE MAMMA.
Hypertrophy, 2430, 2431, 243160, 243010.,
Carcinoma, 2432, 2433, 2434, 24347, 243421, 24S425.
DISEASES OF THE SUPRARENAL
CAPSULES.
2020. Fostal suprarenal capsule and kidney. There is a small,
smooth, rounded body lying on the former. u It would
seem that accessory bodies of this kind, though not invari¬
ably, are frequently present, and are liable to enlargement
from disease.” — Dr. H.
202025. Suprarenal capsules considerably enlarged by an adventitious
deposit resembling tubercle, and which no doubt affords
an example of the disease which Addison subsequently
described.
Jane or Ann R., was admitted into Guy’s Hospital in July, 1829,
under Mr. Key, for an obscure tumor in the breast ; but as she was
suffering more from constitutional symptoms, she was placed under the
care of Dr. Cholmeley. It was observed that her complexion was very
dark, she was extremely feeble and emaciated, and constantly vomited.
At last she became drowsy, and wandered in her intellect. Nothing
positive could be made out of the case, and after death the only well-
marked disease was that of the suprarenal capsules, which were described
as enlarged, lobulated, and the seat of morbid deposits apparently of a
scrofulous character. They were at least four times their natural
thickness, feeling solid and hard on the left side ; one part had advanced
to suppuration, containing two drachms of yellow pus. The kidneys
themselves healthy. Death was attributed to the increase of serous
effusion in the ventricles of the brain.
See case described at length in Bright’s Medical Reports,
and 1. Misc. Insp. Book, p. G5.
1
A
202050. Suprarenal capsules quite destroyed by morbid deposit, and
affording in all probability an example of the disease
such as Addison afterwards described.
Mary C., aged 38, admitted into tlie hospital, in 1828, under
Dr. Bright. There is no history of her symptoms, and no mention
made of the skin. After death, the only morbid appearances found
were pleuritic and peritoneal adhesions, and tubercles in the lungs.
There is not sufficient disease described to account for death, apart from
that discovered in the suprarenal organs. These bodies were enlarged
by an adventitious deposit, which was softening down, and is described
as tubercle.
1. Misc. Insp. Book, p. 27.
202055. Disease of the suprarenal capsules, the tissue being quite
destroyed by adventitious deposit. One organ is small *
and atrophied ; the other is much increased in size, and
has softened.
James W., aged 32, admitted into Guy’s Hospital, under Dr.
Golding Bird, February 6, 1850. For three years his skin had been
assuming a dark hue, and for a year he had been so excessively weak
that he was unable to follow his occupation as a baker. When
admitted into Guy’s, his skin was so dark that it was thought he had
descended from coloured parents; he was extremely feeble, and his
voice very weak. Ho other symptoms than those of anaemia could be
discovered. He left the hospital, and was immediately seized with
pericarditis, and died. Ho chronic disease was found, except that of
the suprarenal capsules. The left was adherent, and as large as a hen’s
egg ; both organs w'ere as hard as stones. Ho tubercle in any part.
(This was the first case in which any connection was thought to exist
between the discolouration of skin and disease of the capsules.)
See case described in Addison’s work, case i.
Drawing 3535>6>8; wax model.
202057. Suprarenal capsules affected by Addison’s disease.
Martha M‘C., admitted, under Dr. Pavy, in summer of 1859. She
was in a dying state ; but, from the absence of any more positive
affection, and the dark colour of the skin, disease of the suprarenal
organs was at once diagnosed. After death, nothing was found in
the body but disease of these bodies.
2
Record of Insp., 132. 1859.
202060. Suprarenal capsules affected by Addison’s disease.
William M., aged 35, a mason, always enjoyed good health up to
Christmas, 1857, when he came under the notice of Mr. Valentine of
Somerset ; he complained of pain in back, and weakness of his legs.
He got a little better, but was again obliged to lie up in March, 1858.
Then for the first time Mr. V. was struck with the appearance of his
dark skin, the whole body being discoloured, but especially the face,
neck, and arms. The diagnosis of suprarenal disease was at once made.
Tonics were given without relief. He became considerably darker in
colour, so that he might well have been considered as being of dark
blood; he also had much pain at the pit of the stomach. For an
attack of this kind he had an opiate given him, and subsequently he
was found dead in his bed. On post-mortem examination the body
was found to be spare, but not wasted. All the viscera w'ere healthy,
with the exception of the suprarenal bodies, which were diseased, as
here seen.
E. W. Valentine, Esq., Somerset.
202062. Suprarenal capsules affected by Addison’s disease. The
organs are diseased in a similar manner to others, the
original structure quite destroyed, and its place taken by
yellowish material resembling strumous deposits.
John F., aged 15, living at Norwich, a well-made lad, had always
had good health until about eight months before death, when his
strength began to fail, and he had loss of appetite, with nausea. He
attempted to work, but was obliged to desist, as he often fainted on
the road, and was obliged to be led home. It was then observed that
his skin was dark, but this was attributed to jaundice. When he came
under Mr. Bacon’s notice, a few days before death, the case was at
once recognized as one of Addison’s disease ; the surface of the skin
was of a dusky olive colour, the face, hands, and legs being the darkest.
The genital organs almost black; in fact, the boy had quite the
appearance of a mulatto. The post-mortem examination showed all
organs, except the suprarenal, quite healthy.
See report of case by G. Mackenzie Bacon, Esq., in Medical Times
and Gazette for August 6, 1859.
202064. Disease of tlie suprarenal capsules ; the organs being occupied
by the peculiar unorganizable and cretaceous matter seen
in preceding cases, while some portions of the earlier
translucent material remains.
William B., aged 39, was first seen by Dr. Glover in 1856, when
his skin was considerably discoloured, and the opinion was suggested
3
whether the case was one of Addison’s disease. As it went on, a very
confident diagnosis was made that this was the malady from which
he suffered, the whole skin becoming very dark, while the conjunctive
remained pearly white ; at the same time he had much pain in the
back, which was attributable to a fall about eight years before. In
March, 1859, he became much weaker, and a prominence was observed
in the spine, at the upper lumbar region. In June he died. The
colour of the body was observed to be that of a mulatto, the generative
organs being especially dark. A psoas abscess was found, arising
from disease of the vertebrse, and the suprarenal capsules as in this
preparation.
Case described by Dr. Glover of Newcastle in the Edinburgh Medical
Journal for August, 1859.
2020C6. Disease of the suprarenal capsules. The organs were
occupied by an albumino-cretaceous deposit.
W. S., aged 21, was first seen by Mr. Welford on February 21, 1859,
for sore throat, but for some months previously he had been complaining
of excessive debility, without anything to account for it, although his
friends remarked that his complexion was getting darker; indeed, they
thought he had jaundice. The body, on being examined, was found
to be covered with several dark olive-coloured patches, while the
genital organs were almost black. The debility increased, and at last
stupor came on, the patient dying on March 5th. After death the
liver was described as enlarged and congested, but having no mani¬
fest disease ; nor, indeed, was any organ affected except the suprarenal
capsule.
Mr. Welford, Bisliopwearmouth.
202068. Disease of the suprarenal capsules ; the organs being occupied
by a yellow deposit, set in a tougli grey fibrous tissue, as
seen in other specimens.
Eobert B., aged 12, admitted, cinder Dr. Addison, August 17, 1859.
He was sent by Dr. Aldis, who had had him under his care at the
Surrey Dispensary since March 29. It was then said that he had been
ailing for four months, was always languid, tired, and disposed to
sleep. Before this he had been stout and fresh-coloured. His skin
was observed to be yellow, and which the doctors attributed to jaun¬
dice and liver disease. He used to fall asleep, and was roused with
difficulty. Complained of pain in the back and pit of the stomach,
with frequent sickness. When at the dispensary he was so prostrate
that he was often obliged to lie down, and his body at last assumed a
decided olive colour. Dr. Aldis felt convinced that the case was one of
suprarenal disease, and accordingly sent him to Guy’s, to be under Dr.
Addison, who immediately and without hesitation pronounced it to be
4
a most marked example of the affection. (This was Addison’s last case
before his death.) The post-mortem showed the body most remarkably
discoloured in all parts, and there was not a trace of disease elsewhere
than in the suprarenal capsules.
See portion of skin, 164110, and wax models.
Record of Insp., 143. 1859.
202070. Disease of the suprarenal capsules, as in morbus Addisonii.
Henry G., aged 33, a farm labourer, was attended by Dr. Housley in
June, 1859. At that time he had been ailing three or four months,
and had been taking cod-liver oil. He was complaining of great
weakness, loss of appetite, and nausea, occasional vomiting, pain at
epigastrium, &c. The colour of his face and hands was brown. In
August the case was suspected to be one of Addison’s disease, although
by some it was still considered hepatic. He gradually got weaker and
weaker ; complained only of pain in abdomen ; the skin had become
much darker, especially over the abdomen and genitals, the latter being
nearly black. No odour perceptible. His principal symptom now
was sickness. He died on April 27, 1860. Dr. H. sent portions of
the viscera to Guy’s and they were found quite healthy, with the
exception of the capsules, as here seen. At the back of the bottle is
seen a portion of skin.
Dr. Housely, Warsop, Mansfield.
2020so. Suprarenal capsules affected by the same deposit as seen in
Addison’s disease.
Martin M., aged 38, was admitted, under Dr. Rees, May 6, and died
May 21. He had been ailing for about nine weeks, having gradually
lost his strength without any assignable cause, until on admission he
was quite unable to move from his bed, and spoke with difficulty. He
had lost flesh, his eyes were sunken, and he frequently rejected his
food. From this it was suspected that he might have some disease of
the stomach. No discoloration of the skin was observed. He died at
last quite suddenly. On post-mortem examination the capsules were
found quite destroyed, as here seen, a yellow opaque matter being set
in a more translucent fibrous substance. The lungs contained a few
tubercles.
Drawing 35318. Insp. 100. 1857.
202085. Suprarenal capsules diseased. The structure destroyed,
and its place occupied by a grey translucent matter,
combined with yellow tuberculous matter.
Anthony B., aged 28, under Dr. Addison in August, 1857. A year
before he had an attack of hemiplegia, never since recovered, and had
5
been an out-patient since. On the morning before admission he had
another attack. The reporter observed the dark hue of his face, which
he attributed to sunburn, but subsequently, on the discovery of the
disease in the capsules, it was observed that the whole body was of a
dark colour. The brain was much softened.
Record of Insp., 154. 1857.
202090. Suprarenal capsules occupied by a yellow and grey adven¬
titious matter in tlie manner described by Addison.
Thomas L., aged 82, admitted on July 2, 1858, under Dr. Addison,
in an extremely debilitated state. He had been under notice for two
years as an example of Addison’s disease. He was of spare frame, had
a haggard expression of countenance, and was of so dark a colour that
he resembled a mulatto, the skin of the genitals being almost black.
He gradually got weaker and weaker, without any other symptoms
than those of asthenia, and died at last rather suddenly. The dis¬
coloration of the skin had been observed for three years. At the back
of the bottle is a piece of intestine, showing the enlargement of the
solitary glands. Drawing.
Record of Insp., 133. 1858. Also, G. H. Rep. vol. v., p. 89.
202095. Suprarenal capsules affected in the same way as many
previous specimens.
George Y., aged 25, was admitted into the hospital with eczema, and
for which arsenic in small doses was given. After the expiration of
three weeks he was seized with collapse, vomiting, and in a few hours
died. In the absence of all other cause, the remedy was suspected of
having caused the symptoms, although so small an amount had been
taken. On post-mortem examination, however, there was no proof of
poisoning by arsenic, but the capsules were found diseased, as here
seen. The body then appeared to be of a very dark hue, especially
those parts where the eruption had been ; here there was a considerable
amount of pigment in the skin.
Record of Insp., 151. 1858.
2021. Suprarenal capsules affected with Addison’s disease.
William P., aged 30, always enjoyed good health until about three
months before his death, when he discovered that he was losing flesh
and strength, but continued his occupation until 7th August, 1860,
when he came under Mr. Valentine’s care. He was then suffering from
great irritability of the stomach, and pain in the lower part of the back.
His skin was of a dark, dusky hue, not in patches, but diffused through
the whole surface of the bod}r. On the second visit Mr. V . recognized
the case as one of Addison’s disease. The sickness, which was his
6
principal symptom, was quite unrelieved by remedies, and the pain
in the back was sometimes excruciating. He died on September 24th.
The body was observed to be dark-coloured, and wasted ; cicatrices of
old sores in the neck. All the organs were examined, except the
brain, and found quite healthy.
Mr. Yalentine, Somerset.
20215. A specimen of diseased suprarenal capsule, brought from
Dr. Addison’s house after his decease ; probably from a
private patient.
202 110. A specimen of diseased suprarenal capsule, brought from
Dr. Addison’s house after his decease ; probably from a
private patient.
Sept. 25, 1852. Mr. White.
202115. Lardaceous or waxy disease of the suprarenal capsules.
They came from a man who had long suffered from
syphilitic caries of the frontal bone, and who at last died
from great enlargement of liver, spleen, and kidney, due
to lardaceous disease. The suprarenal bodies were large,
and remarkably firm and hard, contrasting strongly with
the usual condition of these organs. The tissue was not
destroyed, and thus no symptoms were apparently pro¬
duced ; the specimen being preserved to show the fact of
their susceptibility to this disease, in common with other
organSo
202 130. Suprarenal capsules, containing tubercular deposit. These
specimens are nearly spoiled from having been long kept
before being placed in spirit.
Thomas C., aged 58, admitted under Dr. Barlow, Feb. 11, 1852.
He was a sailor and his health had been good. For some weeks he
had been ailing, and unable to follow his employment, complaining of
nothing but debility and loss of appetite. The whole body was of a
dark colour. The post-mortem examination showed the kidney not
quite healthy, and there were tubercles in various parts of the body
and the capsules were much diseased. The symptoms were thought
to be due in great part to the last-mentioned affection. Drawing
15 9 65, and 4605> 6> 7.
See case ix. of Addison’s work.
7
202 135. A cancerous tubercle occupying the suprarenal capsule,
and obstructing the vein.
Jane R., aged 28, was admitted into the obstetric ward, Feb. 4,
1852, for cancer of the uterus. After death, the body was observed to
be of a darkish colour, and Dr. Addison considered that this might be
associated with the disease of the capsules.
A
Our subsequent experience of Addison’s disease would show that this
was not a true example of the affection. Drawing 35315.
Case x. Addison’s work.
202 140. Suprarenal capsules filled with fibrinous and yellow con¬
cretions, resembling tubercle.
James J., aged 35, admitted under Dr. Addison, Nov. 1851. A
tidewaiter in the customs; generally good health, until seven months
before death, when his illness came on, and at the same time his wife
observed that his complexion was becoming dark. He also had
frequent vomitings. On admission to the hospital, the colour of his
skin was a deep olive brown, and the mucous membrane of the lips
was also found to be stained by pigment. After death, no disease was
discoverable in the body except that of these organs. Drawing
35314, and 159«6.
See Case ii. Addison’s work.
202150. Cancer of suprarenal capsule. The morbid product is
undergoing decay, has lost its cell character, and
changed into granular matter and fat ; thus putting on
the appearance of the scrofulous deposit. It was pre¬
served in order to display this fact. Its true nature
was shown by the presence of cancer elsewhere.
John S., aged 42, under Dr. Barlow for cancer of the stomach.
Insp. 36. I860.
202 183. Suprarenal capsule, having a large carcinomatous growth
springing from it and nearly destroying it.
Catherine F., aged 42, under Mr. Callaway in 1842, for disease of
the thyroid body. She died of cancer of the lungs and other parts.
Prep. 171 173.
19. Misc. Insp. Book, p. 84.
202 190. A large cancerous tumor, involving the suprarenal capsule.
8
Stephen B., aged 29, under Dr. Addison in 1842. He died of cancer
of the lungs, liver, &c.
19. Misc. Insp. Book, p. 83.
2022. Cancerous tumor in suprarenal capsule.
John D., aged 72, who died of cancer of the stomach, &c. See
Prep, of stomach, 1812, and diseased aorta, 1462.
Red Insp. Book, p. 166.
20224. Suprarenal capsule, containing a tumor apparently con¬
sisting of fat. A minute examination showed the
glandular structure to be still present, and it then
appeared merely an excessive growth of one of the fatty
excrescences often seen on the organ.
Thomas M., aged 84, under Mr. Cock for senile gangrene.
Record of Insp. 212. 1855.
2 0226. Cancer of suprarenal capsule.
Elizabeth H. L., aged 53, under Dr. Babington, March, 1853. She
was suffering from carcinomatous disease of the stomach. The skin
about the axilla, and some other parts of the body was rough, and of a
dark colour, resembling icthyosis. After death, one of the suprarenal
ciapsules was found infiltrated with cancer. (At the commencement of
the investigation of the subject, it was thought that some connection
might have existed between this cutaneous affection and the disease of
the capsule; but subsequent experience has shown that such a case is
quite unconnected with Addison’s disease.) Drawing 159e9, 68, and
35316.
Case viii. of Addison’s work. New Insp., vol. iv. p. 104.
20229. Suprarenal capsules affected by Addison’s disease. Described
when recent, as completely destroyed by tuberculous
disease, and adherent to adjacent organs. Some portions
of the morbid material were of the consistence of putty,
while others had softened into a fluid like pus.
Henry P., aged 26, under Dr. Addison, Nov. 1854. He had good
health until six months before, when he began to experience pains in
the legs and back, the latter also being very tender. For a month he
had been obliged to give up work on account of attacks of giddiness
and dimness of sight, with partial loss of consciousness. He was found
9
B
to have angular curvature of the spine, but no paralysis; also sick and
faint when he attempted to rise from his bed. The whole body pre¬
sented a brownish or olive hue, and there were patches of pigment on
the lips. He died December 6. The post-mortem examination showed
a psoas abscess, with disease of the lumbar vertebrse. There were also
a few tubercles in the lung, but no other affection except that of the
suprarenal capsules. Drawing 15967, and 85317.
Case iii. Addison’s work. Record of Insp. 234. 1854.
20 22lu. Carcinoma of the right suprarenal capsule.
William G., aged 37, under Dr. Barlow, for cancer of the thorax.
After death cancer was found to exist very extensively in the body
and partially invaded one of the suprarenal organs. (It was observed
that there were one or two dingy patches on his face. This, however,
is not at all associated with Addison’s disease.)
Prep, of ribs, 105040. Drawing 35312. Addison's work, case si.
Insp. 14, for 1855.
202 2n. Suprarenal capsules affected by Addison’s disease.
Mrs. — , aged 59, a married lady in affluent circumstances, a patient
of Drs. Ranking and Vincent, residing near Norwich. In May, 1855,
she first perceived her face and hands becoming discoloured, and this
wras also observed by her friends. At the same time her appetite began
to fail, and her stomach often rejected food. Between this time and
October she continued to get worse, and at the latter period consulted
Dr. Ranking, wfflo recognized the similarity of the case with the
description given by Dr. Addison. On October 11th, being still worse
she called in Dr. Vincent to take charge of her. She then had constant
sickness, suffered much from faintness, was unable to sit upright, the
pulse very feeble, and the skin discoloured in a remarkable manner in
many places. The face, neck, and hands had a dirty, copper-coloured
appearance. From this time until her death, the colour increased in
intensity, the debility became much greater, the sickness continued, and
she suffered also from severe facial neuralgia. No organic disease was
ever discoverable. She died April 25, 1856. This description was
given, and the diagnosis made before the post-mortem examination.
The body was found still fat, and all the organs were healthy, with the
exception of the suprarenal cajisules. These were enlarged and con¬
verted into firm, yellow, putty- like masses, all traces of structure being
gone ; the microscope discovering nothing but a fibrous tissue in parts,
and irregular shaped cells and fatty granules in others, with a small
quantity of cretaceous matter.
See full particulars of case in Med. Times and Gazette for May 24, 1856.
Drawing 35315.
10
202212. Disease of suprarenal capsules ; the organs being occupied
by firm yellow masses, and tissue destroyed, one of them
softening.
Charles W., aged 24, admitted, under Dr. Barlow, July 24, 1855.
Always good health until five months ago, when he became feeble,
breathless on exertion ; had nausea, and a gradual darkening of the
complexion. He was suffering, on admission, from great debility,
emaciation, irritability of stomach, and a tawny colour of the com¬
plexion. All these symptoms increased, so that at the time of his
death the skin had become darker, and more especially about the lower
extremities. The inside of the lips, also, had a pigmentary deposit.
Pulse quick and feeble. The body was taken away without having
been inspected ; but being followed home by Drs. Gull and Bealey,
permission was given to examine only the supposed seat of disease, no
other part of the body being allowed to be touched. The suprarenal
organs were quite destroyed, as here seen.
202213. Suprarenal capsule affected with epithelioma.
Jane B., aged 63, under Dr. Addison’s care for carcinoma of the
oesophagus. After death the disease was found to be of an epithelial
character, and deposits of the same were met with in the lungs, liver,
and suprarenal capsule. (Esophagus, 179333; pancreas, 198876.
Record of Insp. 70. 1856.
DISEASES OF THE URINARY ORGANS
KIDNEY.
202224. Kidney of a remarkably small size, scarcely exceeding that
of an almond ; the corresponding renal capsule is of the
ordinary size.
Case of Mary M., aged 50. Died of malignant disease of the
intestine, and had her uterus extirpated a year before, 1828, by Dr.
Blundell. The right kidney was of the ordinary size, and healthy.
See prep, spleen, 199340; uterus, 225920; and drawings, 393 and 395.
7. Green Insp. Book, p. 137.
202226. Two kidneys weighing together three and a half ounces,
from extreme degeneration of the structure.
From a gentleman, aged 25, the subject of anemia and chronic
vomiting. He was supposed to have love-sickness, and subsequently
duodenitis, the state of the kidneys not being suspected.
Dr. Gull.
202228. The vestige of a kidney consisting of spherical cavities in
cellular membrane.
Case of Thomas M., aged 18, under Mr. Key, for disease of the
bladder, in 1834. The left kidney was quite atrophied, and the right
was double its natural size. This was also the subject of recent sup¬
purative inflammation.
See prep, intestine, 182185,86; and bladder, 236650.
5. Misc. Insp. Book, p. 52.
12
202230. Kidneys exceedingly atrophied, weighing together only two
and three-quarter ounces.
Richard G., aged 48, under Dr. Barlow. He was a medical assistant,
very intemperate, being accustomed to drink large quantities of raw
spirits. His urine had been observed to be albuminous for three years.
His case ended with epileptiform fits and coma.
Insp. 105, for 1856.
202235. Kidneys exceedingly atrophied, weighing together only
one and a half ounce. (These are the smallest in the
museum.)
Mary E., aged 50, ailing for several years with symptoms of Bright’s
disease, and at last slight dropsy. She died in a drowsy state. The
kidneys had undergone the cystic degeneration.
Insp. 199. 1857.
202242. Two kidneys of remarkably small size. The tunic puckered
and thickened. Renal capsules natural.
From a boy, a patient of Dr. Stroud’s, who died of dropsy, after
small-pox. The urine was said to be turbid, but was not examined
for albumen.
8. Green Insp. Book, p. 71.
202256. Kidney which was situated much lower than natural and
upon the bodies of the vertebrae. It is distorted, and
presents a considerable depression, occasioned by the
pressure of the mesentery. There is likewise irregularity
in the situation of the veins and arteries.
From the body of Edward R., aged 50, under Dr. Bright, 1830, who
died of malformed chest and diseased heart and lungs.
9. Green Insp. Book, p. 72.
202260. Foetal kidneys ; the left surmounted by the renal capsule
lying in its usual position ; the right lying in the centre
just above the symphysis pubis.
202 270. Kidney reduced in size and altered in form from com¬
pression.
From the body of Abraham H., who was under Dr. Bright in the year
1828. He had a lateral curvature of the spine for many years, and
died from suppuration of the vertebrae. The left kidney was subject
to great compression by the curvature.
See prep, of vertebrae, 102650. 6. Green Insp. Book, p. 49.
13
202276. Ileart-shaped kidney from a case of lateral curvature of the
spine.
Record of Insp. 27. 1859.
202280. Kidney much altered in shape from a transverse constric¬
tion at its upper part, and whereby the upper portion is
almost separated. A band of renal structure still however
remains, as well as an internal connection by the pelvis.
Geo. J., aged 58, under Dr. Barlow, for disease of heart.
Insp. 168. 1860.
202284. Hydatid cyst, over which is stretched the right kidney in a
state of compression and attenuation. A portion of liver
is also adherent. The cyst is of moderate thickness, and
its lining is inclined to ossification.
Case of Thomas L., aged 22, under Dr. Bright in 1836. Died from
hydatid disease in the abdomen, involving as well as the kidney the
liver, spleen, &c.
See preps. 194520 and 256790. 10. Misc. Insp. Book, p. 8.
2023. Horse-shoe kidney.
T. Hardy, jun.
2023s0. Kidneys united in the form of a horse-shoe, the cortical
substance having numerous small cysts in its structure.
From the dissecting-room. Presented by Mr. King.
2024. Kidneys connected at the lower part by a condensed band
of fibrous tissue rather than by glandular substance.
One of the ureters is nearly or quite obliterated, thickened,
and converted into a dense semi- cartilaginous structure.
Prep, of stomach. 1816. T. Hardy, jun.
20 2410. Kidney lobulated as in the foetal state.
202450. Portion of kidney and liver showing numerous black
specks consisting of silver, which had been deposited in
them from the internal administration of the nitrate.
Taken from the body of a man who died in the German Hospital of
epilepsy. The black matter is seen to be in the course of the vessels
and in the malpigliian bodies.
Presented by Mr. E. Pye-Smith, Nov. 1859. Case related in fall
in Virchow’s Archives.
14
2026. Left kidney wasted and ureter greatly contracted* tlie right
of a natural size, but the ureter rather enlarged.
202 610. Hypertrophied and atrophied kidney.
202 620. The urinary apparatus of a child. The left kidney wanting,
the right the size of that of an adult. The left suprarenal
capsule exists as usual, and the renal vessels diminished
in size, pass to it. There was no left ureter, and no
vesicnlse seminales could be discovered ; the vas deferens
passing over to the right side of the bladder, and taking
its course with its fellow.
From Anthony B., aged 8, who died of disease of the hip and
tubercular arachnitis under Mr. Hilton’s care in February, 1855.
Prep, of femur, 131725. Record of Insp. 24. 1855.
2027. Kidney and renal capsule greatly enlarged. The character
of the disease not described in the old catalogue, but it is
probably a variety of cancer.
Old Museum Book, No. 253.
2028. Kidney very greatly enlarged. This preparation is very old,
and is not described. The enlargement appears to be
due to the presence of a soft mortar-like substance, the
remains probably of chronic scrofulous disease.
2029. Enlarged kidney, in which is seen a quantity of softening
tuberculous matter. The opposite kidney was diminished
in size.
Old Museum Book, No. 246.
2030. Somewhat enlarged kidney, the tubular part much destroyed
by ulceration. Two ounces of pus were contained in the
infundibula, also small abscesses in the substance of the
kidney. The ureter and bladder also thickened and
ulcerated. In the same glass are two portions of ulcer¬
ated intestine from the same patient, who died of diarrhoea
15
and cystitis and pyelitis, after an illness of twelve months,
in Charity ward, under Dr. Marcet in the year 1807.
Case of Ann Burgess, aged 52.
Old Museum Book, No. 75.
2031. Kidney containing small abscesses, in which are numerous
particles of calculous matter.
Dr. Bright.
203 125. Kidney, which had been affected with recent acute inflam¬
mation. In its cortical substance are numerous small
collections of purulent matter. The lining membrane of
the pelvis and ureter is thickened and covered with a
secretion approaching to the character of plastic lymph.
From the case of William H., who died of stricture under Mr.
Morgan’s care in 1831.
2. Misc. Insp. Book, p. 118.
See prep, of bladder, 2091s8; and testis, 23S660.
2031'50. Kidneys somewhat enlarged; in the substance of which
are numerous small collections of purulent matter. The
pelvis and infundibula considerably dilated.
Case of Elizabeth H., aged 40, who died of malignant disease of the
uterus, and which pressed upon the ureters. In the year 1832.
See prep, of uterus, 22 6660.
11. Green lnsp. Book, p. 167.
203 175. Section of a kidney, in which is a fibrinous deposit in the
cortical substance. The spleen has one of similar charac¬
ter (prep. 2002). It appears to be such as is often found
in diseases of the heart.
From the case of George L., aged 38, who was under Dr. Addison
in 1832.
11. Green Insp. Book, p. 172.
2032. Kidney, with abscess opening into the colon.
From Mrs. B., a patient of Dr Cholmeley’s in Lydia’s ward.
Old Museum Book, No. 93.
203248. Kidneys from a young person, in which there is a deposition
of strumous matter in defined masses, principally affecting
the cortex. From a private patient of Dr. Bright’s and
Mr. Streeter.
See drawing, No. 35360.
2033. Kidney, of which the tunic is much thickened, the pelvis
dilated, the tubular part ulcerated and absorbed, the
cortical part partially so, and communicating with an
extensive abscess in the loins.
From Mr. Davy’s collection. Old Museum Book, No. 233.
203310. Kidneys having their cortical structure occupied by a
fibrinous deposit. When recent, the kidneys were
enlarged, and the surface covered with masses of fibrin
and blood.
Alfred C., aged 6, who died a month after a severe burn, with
symptoms of pyaemia.
Record of Insp. 46. 1855.
203320. Suppuration of kidney in case of general pyaemia. The
surface of the organs is seen to be covered with small
points of pus.
Case of H. B., who died of pyaemia after injury to leg.
Prep, heart, 139645 ; drawing, 3810.
Insp. 60. 1855.
0
203330. Scrofulous disease of the kidney. It is much enlarged, and
filled with tuberculous matter. This has softened down in
some parts into cavities. The ureter is also thickened by
it, and the bladder has tubercular ulceration.
2034. Kidney containing a small mass of bone.
Elizabeth B., aged 29, died under Dr. Barlow’s care for ovarian
disease.
c
Insp. 123. 1857.
17
2035. Kidney intended to show old inflammation of the tunic,
which is thickened. The kidney is also affected with
Bright’s disease.
Case of William R., aged 40, wlio was under Dr. Bright’s care for
renal dropsy.
3. Green Insp. Book, p. 75.
203514. Kidney, the capsule of which is greatly thickened and
condensed, and detached from the surface of the kidney,
from which it was separated by flakes of a dark black
colour, and intermixed with dirty puriform fluid. There
were collections of pus in the substance of the kidney.
Case of Henry W., aged 13, under Dr. Bright in 1829. He had
been ill a long time, and his symptoms aggravated by a severe injury
to the loins nine months before his death, and which had caused effusion
of blood and abscess.
8. Green Insp. Book, p. 163.
See prep, of intestine, 185532 and 186416; other kidney, 203528.
2035 '8. Corresponding kidney from the same lad, with collections
of pus in its interior.
203542. Kidney somewhat enlarged in size, the proper capsule
greatly thickened and condensed, and separated by a
mixture of fluid and concrete pus from the surface.
The external surface was firmly attached to the tunica
adiposa.
Case of Jane R., aged 42, under Dr. Bright in 1830. The disease
of the kidney was connected with a very large ovarian tumor.
See prep, of vein, 152 190 ; uterus, 225940; and drawing of kidney, 362.
10. Green Insp. Book, p. 6.
203556. Kidney enlarged to many times its natural size. The
infundibula dilated and filled with purulent matter, and
lining membrane thickened. The ureter is as large as a
small intestine, and its wralls thick. The patient had
passed purulent urine for three years.
Case of Caroline P., aged 30, under Dr. Bright in 1832.
3. Misc. Insp. Book, p. 157.
18
203560. Kidneys having the veins obstructed with coagula. They
are also large, and of a white colour.
203565. Kidneys inflamed, large, and mottled. In one is a small
fibrinous deposit. The tubules filled with inflammatory
product.
Laura S., aged 6, under Dr. Gull for scarlatina, dying three weeks
afterwards of suppuration of pharynx and peritonitis.
Insp. 250. 1854.
203575. Kidneys containing fibrinous wedge-shaped masses, from a
child who died three weeks after scarlatina.
Charles W., aged 4.
Insp. 232. 1854.
203580. Kidneys much enlarged from nephritis, weighing eighteen
ounces. To the naked eye they appeared large, coarse,
pale, and friable. The microscope showed the tubules
full of granular exudative matter. In one kidney were
small deposits of fibrin ; also, mucous membrane of pelvis
inflamed.
Maria G., aged 10, under Dr. Hughes for scarlatina. She died three
weeks afterwards.
Insp. 213. 1854.
203584. Kidney occupied by numerous small abscesses ; at the same
time the organ is irregular on the surface, and tunic
thickened, presenting an example of the disease which is
generally the sequel of bladder affections.
John W., aged 75, under Mr. Key for stone in the bladder. It was
deemed unadvisable to operate, on account of the man’s age.
13. Green Insp. Book, p. 35.
20358'5. Tubercular disease of the kidney. The deposit is seen
beneath the mucous membrane of the pelvis, and passing
in all directions towards the circumference along the
calices.
Case of Henry L., aged 6, who died under Mr. Hilton’s care Avith
diseased temporal bone, phthisis, and other tuberculous diseases.
Temporal bone, prep. 107470.
Record of Insp. 85. 1854.
19
203588. Kidney extremely atrophied, and undergone cystic degen¬
eration, weighing only three ounces.
Matilda S., aged 17, under Dr. Barlow for acute laryngitis. She
had been subject to epileptic fits for some weeks, and the urine was
albuminous. She at last fell into a semi-comatose state. The larynx
was found covered with a thin layer of lymph.
See prep. 169451. Insp. 35. 1854.
203590. Tubercular disease of kidney, ureter, and bladder. The
disease appeared to have followed the course of the pelvis
and calices. The lining membrane of the pelvis has
scrofulous matter beneath it, or quite destroyed by the
adventitious material which has taken its place. There
are also distinct masses in the cortex, some of which have
softened. The ureter is much thickened by the same
deposit, and the bladder is seen covered by a rough layer
of similar material.
John S., aged 50, under Dr. Barlow. Besides this disease here seen,
the prostate and testes were affected, as well as the intestines and lungs.
Insp. 192. 1854.
203592. Kidney containing miliary tubercles.
Geo. S., aged 10, under Dr. Addison for general tuberculosis.
See liver, 1 9 1 5 30 ; heart, 144550.
Insp. 2. 1858.
203595. Kidney containing miliary tubercles.
George B., aged 6, who after measles fell into a cachectic state, and
rapidly died of tuberculosis.
See lungs, 173725 ; spleen, 2 0 0 850; liver, 1915.
Insp. 132. 1856.
2036. Kidneys large and pale, and now, in spirit, presenting no very
marked morbid appearance to the naked eye ; but, when
fresh, the malpighian bodies were seen as minute white
specks, and beneath the microscope as opaque bodies,
consisting almost entirely of fat. None of the mottling of
ordinarily diseased kidneys was visible, nor were the
tubules occupied by any inflammatory exudation.
20
Mary F., aged 35, under Dr. Barlow for general dropsy, and uterine
cancer, from the constant bleeding of which she died. The urine was
not albuminous.
Insp. 25. 1855 ; and Path. Trans., vol. vi.
2 0 3 65. Kidneys affected by lardaceous or waxy disease; much
enlarged, hard, and translucent, weighing seventeen
ounces.
Caroline J., aged 26, under Dr. Addison. She suffered from a
chronic ulcer of the leg, enlargement of the liver, and anasarca. All
the viscera were found affected by the same disease, the liver weighing
seven and a half pounds.
Insp. 124. 1856.
203630. “Kidneys large, and of a pale colour, being affected with
the white mottling deposit described by Dr. Bright.”
Injected.
Edward M., aged 25, under Dr. Cholmeley in 1827. He was a sailor,
and admitted with acute general anasarca, which appeared to have
arisen from a cold caught in the Mediterranean. This is one of Dr.
Bright’s original preparations.
4. Green Insp. Book, p. 114.
203682. “Two kidneys, large, and of a white colour, affected with
the white mottling deposit described by Dr. Bright.”
Described in Bright’s work.
203664. “ Kidney affected with the white mottling deposit described
by Dr. Bright.” The organ is large, and of a pale colour.
Injected.
From a patient of Dr. Bright’s.
2037. “ Injected section of a kidney affected with the white mottling
deposit. It is somewhat misshapen, from the tubercular
character of its structure. The form, however, did not
depend on any disease analogous to true tubercle, but
upon a general change in the substance of the kidney,
some parts projecting, of a white colour, upon a pinkish
ground, the small star-like vessels running over them.
The size but little altered. Proper tunic adhering very
closely. Internally, the whole cortical structure of a
pretty uniform yellowish colour, with many small and
indistinct opaque yellow spots.” — Bright.
21
Mary G., aged 25, admitted with dropsy in November, 1825, under
which she had laboured about two months, and the urine was found
highly albuminous. Corresponding section, 20371.
2. Green Insp. Book, p. 28 ; and
Dr. Bright’s work, Part i. page 12, plate 2.
20371. Counterpart section not injected.
2 0 3 735. Large white mottled kidney. The surface is seen to be
covered with white specks of deposit.
William L., aged 25, in the hospital in 1838. He had universal
dropsy, and from which he had once almost recovered.
14. Misc. Insp. Book, p. 153.
203750. u Kidney affected with the mottling deposit described by Dr.
Bright.” They are seen to be large and pale. Injected.
James B., aged 26, under Dr. Back in 1831. Twenty weeks before
his death he went out in wet shoes and took cold, which was followed
in two days by swelling, which gradually increased until the whole
body was involved. The urine of dark colour, and coagulable by heat.
Prep, of appendix coeci, 187980; peritoneum, 244060.
2. Misc. Insp. Book, page 39.
2038. u Portion of kidney affected with the light-coloured mottling
deposit described by Dr. Bright ; the arteries injected red,
and the veins yellow.” This appearance is not now well
seen, the organ presenting more of the character of the
waxy organ; this is best seen in the uninjected section.
Robert I., aged 25, an intemperate man, and much exposed to the
weather. Died of dropsy in 1827.
1. Green Insp. Book, p. 125 ; and
Dr. Bright’s work, Part i. page 26, plate 4.
20381. Counterpart of preceding uninjected.
2038G4. u Section of right kidney injected, showing the mottling
deposit described by Dr. Bright.” The organ is only
about half the usual size.
See prep, of knee-joint, 132750, covered with urate of soda.
204012. Kidney affected with Bright’s disease. Preserved to show
the granular surface.
204015. Kidney affected with Bright’s disease. Preserved to show
the thickened and rigid renal arteries.
204025. 11 Two kidneys affected with the white mottling deposit
described by Dr. Bright.”
204050. u A kidney far advanced in the chronic granular form of
the mottling deposit described by Dr. Bright.” The
patient was affected with dropsy, and the urine coagu-
lable. The arteries are injected.
Lewis K., aged 45, under Dr. Back in 1828.
7. Green Insp. Book, p. 135.
204150. 11 Kidney affected with the mottling deposit described by
Dr. Bright. The surface of the kidney, which is minutely
granular or scabrous, is distinctly lobulated. The patient
passed coagulable urine for about five years. An injected
preparation.”
Case of Mary B., aged 24, under Dr. Bright in 1831.
Prep. 222830.
11. Green Insp. Book, p. 59.
204240. “ Kidney rather artificially preserved by slight drying, in
order to show the granular surface. It appears to have
been the seat of a pale inflammatory infiltration, and to
have become subsequently contracted.”
Thomas J., aged 65, who died under Mr. Morgan of disease of the
prostate.
See prep., 240750; also, diseased heart, 140381
7. Green Insp. Book, p. 12.
204260. “ Kidney affected with the chronic granular form of disease
described by Dr. Bright.” Injected.
204275. Kidney remarkably contracted; the cortical substance
granular. It was firm in structure, and contained much
yellow deposit.
23
From a woman, aged 35, who died of apoplexy. The left ventricle
of heart was much hypertrophied, and the cerebral vessels were diseased.
The contracted kidney, hypertrophied heart, and ossified basilar artery
are contained in the same bottle.
New vol. ii., p. 81.
20428). 11 Kidney affected with the mottling deposit described by
Dr. Bright in the chronic granular form. The tunic
removed to show the scabrous surface of the gland.”
204350. Kidney affected with mottling deposit in the chronic form.
It is considerably wasted. Several small cysts are im¬
bedded in its surface, the largest scarcely exceeding the
size of a pea. Some of these contain transparent fluid,
others opaque concrete substances.
Joseph H., aged 51.
2. Misc. Insp. Book, p. 136.
2044. Kidney with numerous small cysts on the cortical part,
erroneously called hydatids.
From Mr. Davy’s collection.
2045. Kidney with numerous but small cellular cavities dispersed
through its substance. Taken from an aged subject.
204550. Kidney injected and laid open, with numerous cysts in its
cortical part.
From Brookes’s collection.
2046. Kidney with numerous cysts, some of which are of large size,
imbedded in its substance, which is much absorbed, and
projecting on its surface.
William P., aged 25, under Mr. B. Cooper in 1827. He died soon
after the operation for lithotomy. The bladder was found much diseased,
and ureter and kidney much distended.
Prep, bladder, 2082.
2. Green Insp. Book, p. 68.
204632. Large portion of a kidney greatly distended, and reduced
to a complex membranous sac, in which the ureter, pelvis,
24
and infundibula may be traced. Besides these parts, a
number of spherical and thin cells have formed between
them and the tunica propria.
Dr. Dowler of Richmond.
2 0 4 64". Kidney containing numerous small cysts, and one very large
one, the size almost of an adult cranium.
From Ann H., aged 81, who died after the operation for hernia.
Insp., 69. 1859.
204664. A kidney injected, the whole of whose substance has become
reduced to simple cysts, probably of tubular origin. These
are variable in size. There is very slight dilatation of
the pelvis.
From a patient of Mr. IlifF’s, aged 26, who had suffered from
hsematuria and urinary symptoms for about six months. At the
commencement of this time a tumor could be felt in the abdomen.
Died exhausted, after passing large fibrinous clots.
See prep. 2 0 9 132.
2. Note-book, p. 26.
204670. Two very fine examples of cystic kidney. Both organs
enlarged, and connected with innumerable cysts of all
sizes. The pelvis and infundibula are dilated. In one
ureter a calculus is seen.
204715. Hydatid cyst growing from the hilum of one kidney, but
scarcely involving the structure ; the size of an orange.
The pelvis and ureter firmly united to its walls. The cyst
contained nearly a hundred smaller hydatids.
James B., aged 56, died of phthisis. The hydatid was found
accidentally after death.
Insp., 43. 1857.
204718. Kidney containing a hydatid cyst in its upper part, and
but slightly involving the structure of the organ.
From a body in the dissecting room, and which also had hydatids in
the liver.
D
December, 1858.
25
204720. Kidney presenting a few cysts in its cortical substance, and
which are lined by a thin membrane. The latter some¬
what resembles that of a hydatid, though this idea is
opposed to the fact of the cysts being independent.
Mary P., aged 35, died of disease of heart under Br. Bright in 1842.
18. Misc. Insp. Book, p, 284.
204725. Kidney containing numerous cysts in its cortical substance,
and principally on the surface. They are peculiar as
containing a brown gelatinous substance.
20476). Kidney greatly enlarged, and containing numerous cysts,
which occupy almost the whole of the cortical part.
George H., aged 38, under Dr. Back in 1828.
6. Green Insp. Book, p. 115.
204775. u Kidney greatly enlarged, the glandular structure pervaded
with numerous cysts of large size, apparently the result
of the dilatation of the uriniferous tubes. The infundi¬
bula are somewhat distended, but they are but little
altered.” A point of considerable interest in this case is
the fact of its having been associated with a very similar
cystic disease of the liver. See remarks on which in voh
vii. of the Transactions of Pathological Society.
Prep, of liver, 190940.
Presented by Mr. Key of Clapham.
2048. Kidney containing a single large c}^st on its surface.
204832. Kidney with a large cyst partially imbedded in the glan¬
dular structure, but forming a considerable projection on
the surface of the organ.
204848. Kidney containing a large cyst on its surface.
204 880. Portion of kidney with a cyst the size of a hazle nut im¬
bedded in the glandular structure. It appears to be the
result of a dilated tube, having an outlet, and connected
with the pelvis. It contained some very small calculi.
Joslx. S., aged G4, under Dr. Bright in 1834.
5. Misc. Insp. Book, p. 63.
26
2049. Two cystic kidneys, one very large, and containing numerous
cysts of all sizes, while the other kidney is not much above
the usual size, and contains only small cysts on the surface
in the course of formation.
Elizabeth P., aged 27, who died of apoplexy under Dr. Pavy.
Insp. 106. 1860.
2051. Kidney with rather a large cyst imbedded in its substance
reaching to the surface, and communicating with the
infundibula.
2054. Kidney of a child enlarged from carcinomatous disease ;
structure firm, with some spots of yellow. Infundibula
dilated ; ureter impervious. Tubercles from the same
disease were found in the liver.
See prep. 1923.
2055. Kidney with a considerable portion of the substance indurated
by fungoid or scirrhous deposit.
From a patient who had cancer of the leg, which was amputated by
Mr. Key; but the disease returned in the internal organs.
See leg, 124880, and 1641; skin, 1658; heart, 1399.
205624. Kidney greatly enlarged by cancerous disease.
205 636. Section of a kidney greatly enlarged by cancerous disease.
205648. A kidney enormously enlarged, with thickened tunic, ad¬
herent colon, and dilatation of the pelvis and infundibula.
One of the last contains a calculus, and another presents
a cystiform peduncular inass supposed to be malignant.
There is a sinuous opening between the pelvis and colon.
Drs. Bright and Turner.
205650. Carcinoma of the kidney. The whole organ presents a
uniform enlargement from an equal infiltration of the
disease.
Sarah D., aged 58, under Dr. Hughes. She had been ailing several
months with hsematuria, and at last pareplegia supervened. A large
27
mass of carcinomatous disease was found involving the spine, and the
cord within was softened.
Prep, of spine, 102860.
Record of Insp., 11. 1858.
205655. Carcinoma of kidney, showing the organ much enlarged,
and of a milk-white colour, the whole structure being
infiltrated with cancer, and presenting no tubera on any
part. A portion of the other kidney is placed at the back
of the jar.
George J., aged 57, under Mr. Bryant for diffused cancer of the leg,
of which he died ; cancerous growths being also found in other parts of
the body.
Insp. 156. 1857.
205 660. Kidney considerably enlarged by cancerous disease.
Mrs. C., aged 50, a patient of Dr. Hodgkins. Three years before
her death her breast was excised for cancer, and the wound healed.
Subsequently tumors appeared on the head and other parts.
See prep, breast, 2 3 0 280, with drawing 407 ; tumor of brain, 158575 ;
dura mater, 160450; fibrous tumor of uterus, 227540.
10. Green Insp. Book, p. 106.
2 05 7 A A large ragged sac, having thin walls, which seem to
have been developed in the extremity of the kidney, the
remainder of which is seen attenuated and expanded over
the cyst. The contents of the great sac appear to have
been cancerous, and to have been removed by some
mode of softening ; some shapeless and ragged matter only
remains.
205760. Kidney greatly enlarged by carcinomatous disease. The
tunic also of the kidney appears to be greatly thickened.
205730. Kidney greatly enlarged by carcinomatous disease. The
masses of disease within are softened, and changed to a
yellowr colour.
From John G., aged 18, under Dr. Cholmeley in 1830. While alive,
the large tumor formed by the kidney caused considerable difference
28
of opinion as to its nature. After death the peritoneum was found
extensively involved in cancerous disease of an arborescent form.
See prep, of lung, 174750; and peritoneum, 246956 and 247084.
10. Green Insp. Book, p. 47.
2058. u Section of kidney greatly enlarged by fungoid disease ; it
contained numerous large broken-down tumors, of some
of wliicli tlie cysts are ossified. The kidney was much
larger than the portion preserved would lead one to
suppose. The greater part was so softened as to render
its preservation impossible, and the remainder is contracted
by the spirit. It was taken from a lady between twenty
and thirty years of age. The tumor which it occasioned
commenced when the patient was a girl, and was at one
time thought to be ovarian ; at another time it was sup¬
posed to be in the liver. A portion of colon preserved
with the kidney has tubercles on or immediately under its
mucous coat. There are fungoid tubercles in a preserved
portion of the liver. 1828.”
E. C. May, Esq., Tottenham.
2Q5964. u Kidney, in the cortical substance of which is seated a
tumor about the size of an almond. This seemed to be
formed of numerous small cysts which contained a puri-
form sanguineous fluid.” This is a very old preparation,
and now impossible to say whether the disease be cavernous
tissue or merely cancerous.
2061. Kidney with a large cancerous tubercle immediately subjacent
to its tunic, and deeply imbedded in its substance.
2062. Enlarged kidney with fungoid and melanoid tubercles in
different stages subjacent to its tunic.
See other preps, from same subject.
Glands, 1551 ; omentum, 1555 ; skin, 1661 ; liver, 1937.
206250. A kidney with fungoid and melanoid tubercles ; some
imbedded in the glandular substance, others external to
it, but especially about the pelvis.
See also other preps.
Omentum, 247021,42 ; mesentery, 246735; ovary, 224964.
Presented by Mr. French through Sir A. Cooper.
29
2063. Kidney showing slight lacerations on its surface, produced
by injury, exemplifying a very frequent mode of injury
by a forcible bending of the organ.
Insp. 158. 1860.
PELVIS AND URETER.
2064. Kidney of a child very much enlarged by soft white matter,
filling up the infundibula and pelvis, and occasioning the
absorption of the glandular structure. The ureter small,
and nearly impervious.
See next prep., 206410.
206410. The fellow-kidney of that described above as 2064.
20658. Pelvis of the kidney having fibrinous lining, which is earthy.
Mr. Hilton.
206516. A kidney, the infundibula greatly distended and filled with
a white friable substance, which, on analysis by Dr. Bab-
ington, proved to consist of phosphate of lime. The
glandular structure is almost entirely absorbed.
John P., aged 53, who had suffered for four years from purulent
discharge from the bladder, under Mr. May of Tottenham.
See prep, of bladder, 209950; and portions of fibrin passed, 207756.
1. Note-book, p. 154.
206582. Kidney, with the infundibula greatly distended and filled
with an opaque white friable material. The glandular
structure almost wholly absorbed.
Wm. T., aged 60, under Mr. B. Cooper in 1831 for stricture.
11. Green Insp. Book, p. 7.
206548. A kidney which has been reduced to cysts by the accumu¬
lation of a cretaceous matter in the pelvis and infundibula.
Dried specimen.
2Q6564. A kidney in which numerous large cells occupy the place
of the tubular and cortical substances. The ureter is
entirely obliterated, but the communications evince the
remains of infundibula.
2066°°. The membranous remains of a kidney injected, inflated, and
dried. Internal distension had produced the removal of
all the secreting substance, and there remained only an
enlarged pelvis and set of infundibula. The proper arteries
of the organ are seen distributed on the surface.
206 660. A specimen of dilated kidney. The glandular structure
has been entirely absorbed.
The case presented by Dr. Lewin of Torquay through Dr. Bright.
2067. Dilated infundibula, pelvis, and ureter. The cortical part of
the kidney very much absorbed.
206750. Kidney of a child seven j^ears of age. The infundibula
greatly distended. The cortical part with the glandular
structure in some parts wholly absorbed. The pelvis and
infundibula appear to have been distended with fluid.
Presented by Mr. Edenborough.
206832. Kidney somewhat enlarged; the infundibula much dis¬
tended, encroaching on the glandular structure ; the
mucous membrane lining them much thickened, and
rough. They contained puriform fluid, and two calculi
moulded to the cavity in which they were lodged. Cap¬
sule much thickened, ureter greatly distended, and glands
in the neighbourhood enlarged.
From the case of Robert T., aged 26, who was in the hospital in
1832 for long-standing stricture of the urethra, of which he died.
See prep, bladder, 178462.
11. Green Insp. Book, p. 151.
206870. Section of a kidney showing an advanced stage of strumous
pyelitis and ulceration, with absorption of some of the
cortical structure.
31
Case of Frederick B., aged 21, under Dr. Barlow in 1847, who died
of tubercular arachnitis, tubercles in lungs, &c.
New vol., p. 194.
206830. Two kidneys, one contracted, the other somewhat enlarged;
the glandular structure reduced by absorption. The
infundibula, pelvis, and ureter somewhat dilated. The
mucous membrane lining the first very slightly thickened.
Case of James C., aged 50, who was in hospital in 1831, and died
of malignant disease of the bladder and ureter.
See prep. 210350, bladder.
10. Green Insp. Book, p. 154.
20G9. Left kidney converted by dilatation of the pelvis and infundi¬
bula, and absorption of the glandular part, into a large
sac, which was filled with puriform fluid. The ureter is
not obliterated. The bladder is ulcerated and contracted.
The tumor to which the kidney had given rise had been
considered ovarian.
Case of Mrs. S., aged 34, under Dr. Addison in the year 1827. The
tumor had been coming three years, but the health had only been
affected a few months.
4. Green Insp. Book, p. 117.
206932. Kidney, of which the pelvis and infundibula are dilated
into one large pouch. A small portion of the glandular
structure remains at the lower part of the kidney, but at
the upper part it is wholly absorbed. There are firm
adhesions to the spleen. The cavity appears to have
contained pus and flakes of inorganizable albumen.
2069°°. Section of a kidney taken from a young female, the pelvic
lining being covered with strumous tubercle, part of
which is in a state of ulceration. There was also an ulcer
at the neck of the bladder.
See prep. 209255.
206964. Right kidney greatly enlarged by dilatation of the infundi¬
bula. The lining membrane thickened, and which con-
tamed about a pint of pus. Ureter thickened, and canal
nearly obliterated. A small calculus was found in the
pelvis of the kidney. Spermatic veins varicose.
Case of Ann L., aged 29, who was under Dr. Bright in 1829 for this
disease which caused a tumor in the side.
See prep, calculi, 215443.
1. Misc. Insp. Book, p. 92.
2070. Ureters obstructed by calculi. Pelvis and kidney greatly
dilated. Substance of kidney distended and absorbed,
with abscess.
Old Museum Book, No. 257.
2071. Kidney with the upper part of the ureter and pelvis greatly
distended from calculus lodged in the ureter. The sub¬
stance of the kidney to a considerable degree absorbed.
Case of S. Bartlett.
C. A. Key’s Record of Inspections.
2072. Kidney with pelvis and infundibula containing large calculi,
the glandular part absorbed.
Brookes’ Collection, cat. xlii., 7.
207220. Kidney containing two large branched calculi.
207240. Kidney with the infundibula and pelvis containing large
calculi, the glandular part absorbed or converted into
concrete pus.
Brookes’ Collection, cat. xlii., 7.
207260. Kidney containing a very large calculus of a branched form,
to which the pelvis and infundibula have accommodated
themselves. There remains, however, a good deal of
secreting substance.
207280. Kidney wasted to a very small size, but the pelvis and
some of the infundibula dilated, and containing calculi.
The ureter contracted, and the emulgent artery nearly
obliterated.
E
33
2073s2. Kidney laid open, and showing several large calculi in its
infundibula and pelvis. The membrane lining these
cavities is much thickened, and there are several tubercles,
apparently cancerous, in the cortical part.
Presented to Mr. Brookes by Mr. Semple.
Brookes’ collection, cat. xx.. 7.
207348. Kidneys, with the ureters and bladder of a child. The
infundibula are distended, and contain calculi of consider¬
able size, apparently composed of the phosphates. A
large calculus of the same description exists in each pelvis,
which is considerably dilated. The right ureter is dilated
and tortuous. The cortical part of the kidneys is wasted,
and contains mottling deposit. The bladder tolerably
healthy, but a little thickened.
Presented by F. Toulmin, Esq., of Hackney,
207364. Kidney, of which the infundibula are distended with calculi.
A sinus leads into the colon.
Case of Benjamin W., aged 58, who was a patient of Dr. Barlow’s
in 1853. He had suffered from symptoms of renal calculi five years
before death.
See prep. 207365; and drawing, 36450.
6. Misc. Insp. Book, p. 131; and Guy’s Hosp. Rep., vol. vii. p. 22.
207365. The fellow kidney of the one described above as 207364.
207380. Kidney with the ureter and bladder and part of the urethra.
The lining membrane of the infundibula and pelvis is
thick and rough. There is a small calculus and several
fragments of earthy matter in the latter, and apparently
adherent. A large calculus, chiefly consisting of lithic
acid, was found in the bladder, which is somewhat
thickened. The prostate and Cowper’s glands are much
enlarged.
See preps, of biliary calculi, 19 7 3 75; and urinary calculus, 221880.
Presented by Mr. Camplin of Finsbury Square.
2074. Kidney, of which the pelvis is nearly filled up by a large
calculus ; a portion of the kidney is absorbed, and its
tunic is much distended by two or three large cysts.
Presented by G. W. Linton, Esq.
2076. Kidney with a calculus lodged in the pelvis.
Old Museum Book, No. 259.
207G10. Small kidney containing calculi.
2077. Kidney with a calculus imbedded in its pelvis. The patient,
aged 22, had fever two years before his death. This was
succeeded by chorea, which continued. He was admitted
into the hospital fourteen days before his death with
painful and distended abdomen, vomiting, and suppressed
urine. Besides this preparation there were found an
ossific patch on the pia mater, emphysema of the lungs,
and intussusceptio of the ileum into the coecum.
Case of John B., under Dr. Curry in the year 1804.
See prep, of ileum, 1804.
Old Museum Book, No. 9.
207756. Calculus in the ureter near the bladder.
207 732. Small kidney with cysts in its cortical part, and a mulberry
calculus lodged in its pelvis.
Case of George M., aged 65, who died from an accident, under Mr.
Cooper’s care in the year 1828.
6. Green Insp. Book, p. 60.
20773'5. Calculus from the kidney.
207736. Calculus from the kidney, remarkable for its size and the
extent to which it represents ’the cavity in which it was
moulded.
From a private patient of Drs. Bright and Turner.
207740. Calculus from the kidney, weighing a hundred and two
grains.
207742. Calculus from the kidney.
20 7 744. Calculus from the kidney, weighing twenty grains.
207746. Calculus from the kidney.
Robert G., aged 21.
17. Misc. Insp. Book, p. 315.
35
207748. Renal calculi, composed of oxalate of lime, remarkably
white. There were traces of lithic acid.
20775°. j|ena] calculus, chiefly oxalate of lime.
Mr. Bryant’s cat., p. 103.
207752. Calculus from the kidney, consisting of oxalate of lime, with
opaque crystals of that salt scattered over the exterior.
Specific gravity T85. Analysed by Dr. Bird.
M. A. F., aged 42.
15. Misc. Insp. Book, p. 114.
207756. Small fragments of phosphate of lime found in the pelvis of
a kidney which was much diseased.
See prep. 20G516.
207758. Renal calculi, consisting of phosphate of lime, contained in
a kidney the subject of cancer.
Jeremiah S., aged 38, under Dr. Barlow in January, 1853. For a
long time lie had had symptoms of renal calculi, and latterly a tumor
appeared in the abdomen as the cancerous kidney grew in size.
New vol. iv. p. 35.
20776°. Dilated pelvis of kidney, dried.
207764. Kidney greatly dilated and sacculated. The obstructions
seem to have arisen from a carcinomatous cauliflower
growth at the exit of the pelvis and in the ureter. A
dark portion united to the fungus is probably congulated
blood. There is very little left besides the membranous
tunic.
From a private patient, aged 71, of G. Parsons, Esq., of Walworth.
2078. Kidney with two ureters, taken from a child.
See bladder, 20785.
20785. Bladder with three ureters, taken from a child. One of the
kidneys had two ureters.
See prep. 2078.
207916. A kidney with two ureters, which unite a short distance
before entering the bladder.
3G
207920. Kidney and portion of bladder, with two ureters distinct
through their entire course.
207932. Bladder with three ureters; two on the right side, stated
in Brookes’ catalogue to have the vas deferens double on
one side, but this appears not to be the case.
Brookes’ cat. lxxvii., 6.
207983. Calculus in the ureter ; the other portion in the bottle is
probably the kidney contracted above it.
207960. Stricture of ureter; cicatrix in dilated pelvis. The kidney
above, a mere vestige.
Guy’s Hosp. Rep., October, 1845.
207962. Strictured ureter with cicatrices. Kidney expanded, and
ureter contracted below.
Case of Geo. H., aged 4, under Dr. Barlow in 1845, who died of
measles and suppurative inflammation.
New vol. i. p. 21.
207964. “Kidney and ureter which have been the subject of inflam¬
mation ; the lining of the ureter presents several little
firm conical granules, as it were hypertrophied follicles.”
Case of Charles M‘L., aged 30, who died of disease of the heart
under Dr. Bright’s care in 1836.
See prep. 141385; and drawing, 364.
9. Misc. Insp. Book, p. 98.
&
207972. Defined ulcer in the ureter and renal pelvis.
207980. “Portion of a ureter, much thickened, and considerably
but unequally dilated. Its internal surface very uneven.”
Apparently scrofulous deposit.
Brookes’ Collection, cat. xxxviii., 7.
2080. Kidneys, ureter, and bladder. The first of small size, and
the glandular part considerably absorbed. The infundi¬
bula and ureters much dilated, especially on the right
side, in which the ureter is very short. The bladder
appears tolerably healthy.
37
Case of Samuel C., who died of stricture of the urethra under Mr.
Key’s care in 1826.
1. Green Insp. Book, p. 83.
208025. Kidney and ureter. The latter dilated throughout its
course to the ordinary size of the ileum. The walls are
likewise somewhat thickened. The pelvis and infundibula
of the kidney are likewise dilated, and the cortical part
nearly absorbed.
Case of Faith D., aged 46, who was under Mr. Key’s care in 1833.
She died of peritonitis caused by rupture of the bladder, which was
diseased in the way the preparation shows.
See prep, of bladder, 208975.
4. Misc. Insp. Book, p. 97.
208(T°. A kidney showing the effects of obstruction near the under
end of the ureter. The tube is extremely dilated and
thickened, but not uniformly. The pelves appear to be
irregularly dilated, and a considerable part of the secret¬
ing substance has been removed.
208075. The termination of the two ureters in the bladder. The
tubes appear greatly dilated and thickened, but having
natural orifices in the bladder, the walls of which appear
tolerably healthy.
208150. Bladder, ureter, and renal pelves considerably dilated,
without thickening. The orifices of the ureters are wide,
circular, and direct, i. e ., without valves. The kidneys
are very small, contracted, and lobular.
Case of Edward C., aged 18, who was under Dr. Bright’s care in
1835. Urinary symptoms had only existed a week.
7. Misc. Insp. Book, p. 33.
2082. Thickened and ulcerated bladder ; ureters, particularly the
right, very much dilated.
Case of Edward P., aged 25, who was operated on for stone by Mr.
Cooper in 1827, and who died subsequently of peritoneal inflammation.
See prep, of kidney, 2046.
2. Green Insp. Book, p. 68.
%
URINARY BLADDER.
2083. Bladder, of which the anterior part and the corresponding
portion of the abdominal parietes are wanting. The
umbilicus is just above the opening. From a male foetus.
Presented by J. Young, Esq.
208320. Bladder, of which anterior part and the corresponding
portion of the abdominal parietes are wanting. The mucous
surface on which the ureters open is thick, granular, pro¬
minent, and discoloured. The hymen imperforate.
Presented to Mr. Brookes by Mr. North.
208340. Preparation showing deficiency in the anterior part of
the bladder. The ureters, which were large, opened
upon two red fleshy protuberances. The ossa pubis were
separated about an inch. There was no vagina, and
there appeared to be some deficiency in the lower part of
the abdominal parietes.
Case of a little girl.
6. Green Insp. Book, p. 93.
208360. Genitals of an adult male, with a small penis, and deficiency
in the anterior part of the bladder. The seminal appar¬
atus seems entire, but the vesiculse seminales and the
penis probably imperforate.
Presented by Alex. Bossy, Esq.
208380. Portion of a bladder, with the remains of the urachus
remarkably distinct, and dilated into a small cyst, which
appears to have depended on the persistence of part of
its canal.
2084. Bladder, of which the muscular coat is very much thickened.
The mucous membrane but little if at all diseased, with
somewhat enlarged prostate and stricture of the urethra
at the bulb.
From John W., under Sir Astley Cooper for calculus.
See prep. 2198.
Old Museum Book, No. 154.
39
2085. Bladder, of which the muscular coat is very much thickened.
The mucous membrane corrugated, but tolerably healthy ;
the prostate somewhat enlarged.
2086. Bladder, of which the mucous membrane is sacculated, from
being protruded through meshes formed by the fibres of
the muscular coat.
208650. Bladder somewhat thickened, and the mucous membrane
sacculated between the strongly developed fibres of the
muscular coat.
Case of James C., aged 46, under Dr. Bright’s care for ascites in the
year 1830. The cause of the hypertrophy of the bladder not stated.
1. Misc. Insp. Book, p. 146.
i
208725. Base of the bladder showing one large sacculus and several
smaller ones, produced by the protrusion of the mucous
membrane between the fibrous bands of the muscular
coat. Dried.
208735. Vesical pouch. Dried.
208740. Bladder with a small sacculus at its fundus about the size
of an egg. It communicates with the bladder by an
opening through which the point of the little finger can
be passed. The urethra is seen strictured and narrowed,
and dilated at the bulb.
Insp. 1. 1860.
208760. Bladder somewhat dilated; the mucous membrane thick
and granular, forming a remarkably defined pouch about
the size of a pigeon’s egg.
Presented by Sir A. Cooper.
208775. Male bladder from a private patient of C. A. Key, Esq.,
showing a cyst connected with the right side of the bladder
through an opening which is two-thirds of an inch in
diameter. The cyst is double the size of the bladder itself ;
it is lined by a prolongation of the mucous membrane of
the bladder, and its communication is immediately anterior
40
to the entrance of the left ureter. The muscular walls of
the bladder are much thickened, and both ureters much
dilated. There are several false passages commencing at
the posterior part and on the right side of the prostatic
portion of the urethra, and terminating shortly in the
bladder at the cervix.
2088. Uterus, bladder, and kidney from a patient of Dr. Bright’s.
Bladder thickened and sacculated, and ureter dilated from
contracted urethra, causing impediment to micturition.
There are peritoneal adhesions about the uterus.
2089. Bladder, of which the muscular coat is much thickened.
The cavity contracted, but connected with two large
pouches at its fundus, with stricture of the urethra.
208912. Bladder, of which the muscular tunic is much hypertro¬
phied. The lining membrane inflamed, and the prostate
enlarged.
From the case of John C., aged 87, under Mr. Morgan in 1836 for
enlarged prostate, retention of urine, and perineal abscess.
8. Misc. Insp. Book, p. 101.
208 925. Bladder greatly dilated; the mucous membrane nearly lost
by disease. The subjacent structure appears to have
been almost wholly degenerated into a fatty substance.
Case of a man, 50 years of age, who had been bedridden for five years
from paraplegia. All his organs had undergone fatty degeneration.
See preps, of tumor, 16 6 832 ; and colon, 245656.
Presented by Mr. Hilton. See 1. Note-book, p. 146.
208950. Bladder showing effusion of blood beneath the mucous
membrane, whereby the interior is raised into a nodular
surface.
James M., aged 21, who died of tubercular arachnitis.
Drawing, 36720; Insp. 236. 1857.
208975. u Bladder thickened, contracted, and perforated by ulcera¬
tion, which has very little appearance of a malignant
41
F
character. The preparation is seen posteriorly, and the
peritoneum around is partially coated with fibrin. There
is one much dilated ureter, and some apparent prolapsus
uteri.” This appears, from description and history, to be
a case of primary cancer of the bladder.
Case of Faith D., aged 46, who was under Mr. Key’s care in 1833.
She died of peritonitis, caused by rupture of the bladder.
See prep, of kidney, 2080^.
4. Misc. Insp. Book, p. 97.
2090. “ Bladder burst from retention of urine, ulceration per¬
forating it.” No history.
2091s2. Two masses of fibrin passed by the urethra, from a patient
who had long suffered from hsematuria, which was pro¬
duced by remedies after gonorrhoea.
Case of M. S., aged 26.
2. Note-book, p. 26. See also prep. 204664.
Presented by W. T. IlifF, Esq.
209 140. Bladder and urethra laid open posteriorly, showing the
effects of stricture. The bladder is large, and much
thickened ; the mucous surfaces are coated with false
membrane, copiously infiltrated with earthy salts.
Case of John O., aged 36, who was under the care of Mr. Morgan in
1836 for stricture of perineal abscess.
See next prep., 2 0 9 148.
10. Misc. Insp. Book, p. 28.
209 148. Dried layers of adventitious fibrinous matter lining the
bladder, with crystalline earthy matter deposited in it.
See preceding prep., 209 140.
From the same case.
209152. First incision of lithotomy. Surface fibiinous and earthy.
209 154. Bladder showing a calculus encysted in its walls.
David D., aged 38, under Mr. Birkett in July, 1860. One calculus
was removed by operation, but he shortly after died. The inspection
revealed old disease as well as acute suppuration of the kidney. The
bladder, near the opening of the right ureter, had a pouch the size of
a walnut, and in this was a calculus ; it was altogether contained in
the walls of the bladder, although it could be touched by a probe passed
into the ureter. There could be little doubt, therefore, that the stone
had passed down the ureter as far as its termination, and there lodged.
Xnsp. 116. 1860.
209 15<3. Bladder much hypertrophied ; lining membrane thickened ;
and that of urethra, anterior to neck, is dilated and ulcer¬
ated. It contained the two remarkable calculi seen in
the next preparations, a description of which will be found
in the Guy’s Hosp. Reports, Series I., vol. ii. p. 268.
Drawing, 36975.
209 157. One of the calculi from the bladder above mentioned. It
is soft, and consists of alternate layers of animal and eartlry
matter. The large nucleus appears to be composed of
soft fibrin.
209 158. The other calculi from same bladder, and consisting of the
same formation. When recent, it vras the opinion of
some that they were hydatids. They were removed from
a boy about two years old.
209 160. Bladder everted to show the hypertrophied muscular fibres
in a case of stricture.
Daniel W., aged 49, under Mr. Cock for stricture of twenty-six
years’ duration. He died of perineal abscess and pyaemia.
Insp. 26. 1855.
209 180. Penis and bladder, showing the effects of stone. There
was a calculus somewhat larger than a duck’s egg con¬
tained in and nearly filling up the cavity of the bladder.
The ureters are dilated. There is a partial coating of
false membrane, and earthy matter in the bladder, more
especially at the neck and in the prostatic portion of the
urethra, and in some degree through the whole of the
canal. There is a urinary fistula situated in the mem¬
branous portion of the urethra, caused by the extraction
of a calculus at that part.
43
Case of Edward B., under Mr. Key in the year 1834. He died of
inflammation of the kidneys.
6. Misc. Insp. Book, p. 97.
209 188. Bladder and urethra, the former very much thickened.
The mucous membrane thickened and rough, with large
flakes of adherent lymph, from recent inflammation.
Case of William H., who died of stricture under Mr. Morgan’s care
in 1831. The inflammation had at last extended throughout the
urinary passages to the kidneys.
See preps, of kidney, 203125; and testes, 23665n.
2. Misc. Insp. Book, p. 118.
209 190. Bladder, showing the mucous membrane quite detached
as a slough, being completely torn off from the muscular
coat beneath.
H. P. aged 32, under Dr. Gull for acute paraplegia of three weeks’
standing. On account of retention of urine he had had catheters
constantly passed, and often with the accompaniment of blood. Death
arose from peritonitis originating in the bladder, this organ being found
considerably disorganized with infiltration of urine in its coats.
Insp. 241. 1857.
209248. Bladder of a child, with some slight appearance of ulcera¬
tion of the mucous membrane near the cervix. It con¬
tained a calculus, by which its cavity was filled.
Henry S., aged 3, under Mr. Key in 1829. He was not operated on,
as he was supposed to be labouring under disease of the kidneys, which
was found to be the case.
Prep, calculus, 221225.
7. Green Insp. Book, p. 126.
2092'5'5. Bladder showing tubercles ; ulceration at its neck.
See kidney of same case, 200995.
2092G0. Bladder, showing a vascular excrescence at orifice of urethra.
Esther W., aged 37, under Dr. Oldham for ovarian disease. This
was found accidentally after death.
See preps, of colon, 185936: and gallstone, 19792 '.
Record of Insp. 248. 1854.
44
209261. Polypus removed from the urethra of a female by Mr.
Bryant, Sept., 1859.
Mary A., aged 24 ; married. For three months she had had difficult
micturition, followed by haemorrhage. A vascular projection was
observed at orifice of urethra, and cut off. This was discovered to he
only a part of a larger growth in the urethra ; the anterior part of the
canal was therefore slit open, and a polypus found growing from the
wall three-quarters of an inch up the passage. It was removed, and
patient recovered.
209264. Bladder, described as extensively ulcerated; but it appears
rather to have its surface covered with a villous cancerous
growth.
T. Callaway, Esq., sen.
2093. Bladder, ulcerated in case of disease of the spine, where the
use of the catheter was constantly required.
Case of Fred. H., aged 20, under Mr. Cooper in 1828. While
carrying a heavy weight, he fell and injured his back. Soon afterwards
spinal symptoms supervened, and at the end of a year he was completely
paraplegic. The disease of the spine was found to be carcinomatous.
Prep. 1037.
4. Green Insp. Book, p. 64.
209460. Circumscribed abscess between the rectum and bladder; it
communicates with the latter, which is much hypertrophied.
John R., aged 45, under Dr. Bright in 1838. For five years he had
suffered from hsematuria ; and when admitted he was found to have a
urino-rectal fistula. — For particulars of case, see
14. Misc. Insp. Book, p. 75.
2095. Bladder, inflamed and perforated by ulceration, and accom¬
panied by a large abscess opening into the rectum.
J. C., under Mr. Key in 1826. A month before, he fell and fractured
his spine, and gradually became paralyzed. The kidneys were found
in a state of suppuration.
Prep, of spine, 1035.
1. Green Insp. Book, p. 17.
2096. Ulceration of bladder in case of fractured spine.
James H., aged 21, under Mr. Key in 1827. While at work in the
docks a load of earth fell upon him, causing considerable displacement
45
of the bones of the spine. He had perfect paraplegia, and survived
four weeks. Catheterisra was daily employed. After death a fracture
of the tenth dorsal vertebra was found; also, ulceration of bladder,
with pericystitis and peritonitis.
Prep, of spine, 1036.
4. Green Insp. Book, p. 55.
2097. Bladder, enlarged and thickened; mucous membrane pre¬
senting a very irregular surface, from deposition of lymph
and earthy matter.
2099. Bladder, of which the mucous coat is extremely ragged, from
general and deep ulceration. The middle lobe of the
prostate is much enlarged.
20995 . Bladder greatly distended; the mucous membrane in some
parts thickened, in others extensively removed, laying
bare the subjacent coat, which is somewhat thickened.
The peritoneal coat was united by firm old adhesions to
the neighbouring parts.
John P., aged 33, had suffered for four years from purulent discharge
from the bladder, under Mr. May of Tottenham.
Prep, of kidney, 206516; a portion of fibrin passed, 207756.
1. Note-book, p. 154.
2100. Bladder containing a large calculus closely impacted in its
fundus- There is also enlargement of the third lobe of
the prostate.
210025. Bladder containing a very large calculus.
210050. Bladder greatly thickened, and containing a large calculus,
by which its cavity is nearly filled. The surface of the
stone was granular and crystallized, and some fragments
adherent to the mucous membrane, which was partially
ulcerated.
George H., aged 52, under Mr. Cooper in 1829. He was too ill to
submit to an operation.
Prep, of portions of stone, 215170.
1. Misc. Insp. Book, p. 104.
46
210063. Bladder and ureter ; the latter is seen to be much distended,
and containing two or three calculi. One of these is just
entering the bladder.
Presented by J. Parrot, Esq., Clapham.
2101. Bladder enlarged and somewhat thickened; its mucous
membrane sacculated, extremely irregular, and extensively
ulcerated from calculus. The patient was cut, but died
eight years afterwards from the disease of the bladder,
which remained after the operation.
2102. Bladder, uterus, vagina, and external parts of a female in
whom a calculus of the size and form of a duck’s egg had
made its way by an ulcerated opening from the bladder
to the vagina. The calculus is in the possession of Mr.
Tipple, who presented the specimen.
21025. Tubercular disease of the bladder; the mucous membrane
being covered with a scrofulous deposit. It extends to
the membranous portion of the urethra, which is also
ulcerated.
William W., aged 48, under Dr. Gull. He had suffered about a
year with urinary symptoms, and before his death from perineal abscess
arising from the disease in the urethra. There was also similar disease
of the kidney.
Insp. 7. 1855.
210210. Tubercular disease of the bladder. The floor of the organ
internally is seen to be covered with tubercular deposit ;
this is softening and ulcerating, producing a rough broken
surface at the neck of the bladder. Externally, also, the
disease is seen to have invaded the vesicuke seminales.
It has also extended into the urethra, producing ulcera¬
tion in the membranous portion.
H. G., aged 32, was admitted into the hospital for perineal abscess
due, as was afterwards found, to this disease of urethra. Being dis¬
covered to have phthisis, he was transferred to Dr. Wilks’ care. After
death tuberculous disease was found pervading almost all parts of the
body ; but the oldest disease appeared to be in the left kidney, the
whole of which was affected as well as the ureter.
Insp. 108. 1859.
47
2103. Bladder presenting an ulcerated surface within, and at one
spot a raised growth, which, when fresh, was considered
cancerous. It appears, however, to be rather an inflam¬
matory or villous growth.
Joseph G., aged 45. He had been cut for stone a few years before.
He recovered, but a few months prior to bis death he was affected with
urinary symptoms, and died with suppuration of the kidneys. The
bladder was found as here seen.
1. Green Insp. Book, p. 59.
210350. Bladder, having its internal surface covered with elevations
and granulations of a cancerous kind. When recent, it
resembled a cauliflower.
J. C., aged 50. For several months he had suffered from hsematuria,
for which he took various remedies without relief. The post-mortem
examination showed cancer of the liver. The bladder, as here seen,
and the kidneys much dilated.
See prep., 206880.
10. Green Insp. Book, p. 154.
2104. Bladder much enlarged, thickened, and ulcerated from car¬
cinomatous disease ; the latter broken up, and representing
a shaggy surface. The absorbent glands in the neighbour¬
hood are affected with the disease. The patient presented
symptoms resembling those of calculus.
Mr. May of Tottenham.
2104k Villous cancer of the bladder. There is a large mass of
disease in the walls, having its surface made up of long
shaggy processes, and above this is a smaller patch ; both
of these appear to consist of an adventitious solid material
deposited beneath the mucous coat. Near these, how¬
ever, are one or two tufts of simple villous structure
growing from the mucous membrane.
Private case of Dr. Rees. February, 1856.
2104s. Portion of bladder affected with cancer. The surface broken
up, and disposed to be villous.
Gentleman, about 50 years of age, under the care of Mr. Roper of
Croydon. He was seen also by Mr. Cock and Dr. Rees, the latter
detecting cancer cells in the urine.
48
21047. Bladder, having the interior covered with numerous villous
growths. These do not appear to spring from a basis of
adventitious material, but at once from the mucous mem¬
brane ; and thus the specimen differs from some of the
preceding, which are evidently cancerous. The tufts
consist of beautiful vascular villi, resembling the chorion
of the ovum.
From Brookes’s collection.
2 1 048. Cancer of bladder. A large part of the organ is occupied
by a cancerous growth, its surface being broken up, pre¬
senting an irregular shaggy surface in the interior.
Thomas T., aged 41, under Mr. Callaway, jun., in June, 1854. He
had suffered all his life with symptoms of stone ; and since the age of
twenty-one, with hsematuria at intervals. During the last six months
of his life, all his urinary symptoms were worse, so that it was thought
not advisable to submit him to an operation. After death a calculus
was found in the bladder weighing more than half an ounce. The
lumbar glands were diseased, one of which is placed in the bottle. The
liver also contained some cavernous tissue, which was thought might
be cancerous.
See prep, of liver, 1909-’6 ; and drawing of same, 34057.
Insp. 136. 1854.
21049. Bladder, having a large part of its walls occupied by a
cancerous growth, which is tolerably circumscribed. This
projects externally at the fundus and towards the rectum ;
internally, it is nodulated and broken up, presenting a
shreddy surface mixed with phosphates. . The prostate
also slightly involved. The disease is true medullary
cancer.
James B., aged 62, under Mr. Cock. He had suffered for two years
with urinary symptoms, as hsematuria, pains in loins, &c. He stated
that he had sometimes passed calculi as large as peas. All other
organs quite healthy.
Insp. 200. 1855.
210410. Cancer infiltrating the walls of the bladder. The prepara¬
tion does not show much, but when recent, the anterior
wall was tough and thickened from deposit of cancer
between the mucous and peritoneal surfaces.
49
G
Susan G., aged 56, under Dr. Gull for cancer affecting several parts
of the body.
See' prep, of nerves, 162015 ; and drawing, 8851.
Insp. 36. 1855.
210411. u Base of the bladder with adjacent parts. There is a
peduncular fungous growth near the orifice of the left
ureter. This is the size of a chestnut. The convex
surface was granular and sloughy, the texture of the
tumor itself soft.1' Probably a fibrous polypus and not
cancer.
William J., aged 72, under Mr. Cooper in 1836 for haematuria.
After death the kidneys were found diseased, but there was no malig¬
nant disease in any part of the body.
Drawing, 369.
8. Misc. Insp. Book, p. 63 ; and Guy’s Hospital Report, Series I.,
vol. i. p. 204.
210412. Bladder, containing a large carcinomatous growth the size
of a billiard ball, situated at the neck, on posterior part,
and towards the right side. It grew over the right ureter,
which was obstructed by it. On cutting through the
tumor it was found to be firm, though it exuded a milky
juice, and was decidedly cancerous; the surface was some¬
what warty. Near it was a smaller growth composed of
softer structure, and more markedly cancerous, large
nucleated cells being found by the microscope. Pelvis
and infundibula of kidney somewhat distended.
Joseph B., aged 55, under Dr. Gull, being transferred from the
surgical ward, where he had been sent for supposed stone.
Insp. 149. 1869.
210414. Bladder, presenting a large carcinomatous excrescence near
the neck. The surface is flocculent, and covered with villi.
The ureters dilated. The patient had passed bloody urine,
and presented symptoms of stone.
210417. Bladder, with a vascular fungous cancer at its base.
John F., aged 65, who died in the taking-in room, and therefore no
history.
50
See next prep.
18. Misc. Insp. Book, p. 259.
210418. Lamellar clot from the preceding bladder.
210420. Bladder, having a small melanotic tumor attached to its
mucous membrane.
George C., aged 32, under Mr. France for disease of the left eye,
which had existed two and a half years. About a year before his
death small nodules appeared on the surface of the body of a melanotic
character. The post-mortem examination discovered various parts of
the body involved in the same disease.
See prep, cranium; heart, 140015; eye, 16 6 960.
Insp. 119. 1859.
210425. Bladder, almost entirely filled with large polypoid growths
springing from its surface. They appear soft, and re¬
semble in structure the softer fibro-plastic or recurrent
fibroid rather than cancer.
210428. Bladder everted, showing a number of large polypi spring¬
ing from its mucous membrane. These are attached by
very slender peduncles.
Drawing, 3695.
Also a drawing of same in the Royal College of Surgeons, presented
by Sir A. Cooper.
210430. Bladder of a child containing polypi. They spring from
the anterior wall, and surround the meatus ; they have
small peduncles, and swell out at their free extremities.
As a whole, they formed a pyriform mass, closely fitting
to the neck of the bladder. One protruded from the
meatus. Their surface has a warty appearance. The
microscope showed the composition to be a soft fibro¬
plastic structure.
Sarah A. J., aged 5, under Mr. Birkett for urinary symptoms. After
a time a tumor protruded through the meatus, and similar ones were
found within the bladder. The protruding portion was removed by
ligature. She died of suppurative nephritis.
Drawing, 36910, n.
Insp. 10. 1858; and Medico-Chir. Trans., vol. xli.
21Q432. Bladder of a child containing polypi, with a tumor growing
in the walls, and protruding externally. The polypi
spring from the neck, and surround the orifice by slender
peduncles. They were found to be composed of a soft
structure, like the softer variety of fibro-plastic growths.
The tumor seen externally is firmer, and resembles more
the recurrent fibroid tumors.
Richard T., aged 2, under Mr. Hilton for urinary symptoms. A
distinct tumor formed by the bladder was visible above the pubes, and
could also be felt per rectum. Death was due to a suppurative
nephritis, which finally set up a peritonitis.
Drawing. Insp. 169. 1858.
210436. Bladder containing a flocculent growth, apparently cancerous.
210440. A large cyst, lined by calcareous deposit, firmly attached
to the posterior wall of the bladder (which is seen above),
but having no internal connection with it. It was thought
to have been a hydatid cyst, but this was not positively-
ascertained.
Case of Richard R., aged 60, who died under Dr. Barlow’s care of
heart disease.
Insp. 194. 1854.
210444. A large hydatid cyst between the rectum and bladder;
dried. The ready adaptation of the adjacent canals is
very well seen.
210462. A large hydatid cyst, situated between the bladder and
rectum, from a male patient. The cyst was filled with
hydatids in various conditions and sizes, amounting to
nearly three pints. The cyst was situated beneath the
peritoneal coat of bladder, between this organ and rectum.
Mucous membrane of bladder healthy, although there
must have been some communication from it or urethra
to hydatid cyst.
James P., aged 40, began to suffer in a gradual manner from the
symptoms of suppression of urine. After passing a catheter, some
small hydatids were voided, and subsequently after syringing the
bladder a few more, but not in sufficient quantity to materially lessen
the size of the abdominal tumor. When the body was opened, the
52
cyst was as large as a uterus in the fifth month of pregnancy, and the
urinary bladder was attached to its front part, the ureter crossing over
the cyst. Kidneys much dilated.
12. Green Insp. Book, p. 87.
210453. Some of the hydatids from above mentioned cyst. They
were said, when recent, to show bunches of smaller ones
attached to the surface, looking like beads on a thread.
210456. Hydatids passed during micturition, and coming probably
from the kidney.
H. B., aged 84, came under Mr. Birkett’s care in 1851. Ten years
before, he had suffered much from pain in the left side, and two years
subsequently he voided some “bladders and skins.” Since this time
he had been in the habit of passing several. At the period above
mentioned he had a severe attack of pain, and soon passed a number
of hydatids sufficient to fill a half pint mug. No hydatid could be
detected in the neighbourhood of the bladder. He was subsequently
seen quite well.
See account of case in Guy’s Hosp. Rep., Series II. vol. vii. p. 300.
210457. Large hydatid cyst attached to the bladder. When recent,
it was found to contain three pints of small hydatids. It
appeared to be developed in the cellular tissue of the
bladder, this organ being in front and on its left side;
the ureter also spread out on the cyst.
From William A., aged 52, under Dr. Habershon’s care for cancer
of stomach. While under treatment a tumor was felt in lower part of
body like the distended bladder. It was found, however, on examina¬
tion, that the catheter passed altogether at its side. He never suffered
any symptoms in consequence of its presence.
Insp. 80. 1860.
210458. Hydatids contained in the cyst of the previous case.
210460. Bladder and kidney of a child who died after the operation
of lithotomy. The kidneys and small intestines were
diseased.
210465. Portion of bladder and prostate of a man who was cut for
stone fourteen years before. It is preserved in order to
show that no trace of the incision is visible.
Insp. 88. 1857.
53
210468. Bladder of a man who died after lithotomy. There was
inflammation beneath the peritoneal coat.
Stephen P., aged 52, was operated on by Mr. B. Cooper in 1828.
He died tliirty-two hours after the operation. His kidneys were
diseased.
Calculus, 2127.
5. Green Insp. Book, p. 152.
210470. A bladder, after the operation of lithotomy, showing an
earthy phospliatic deposit upon the edges of the wound.
Thomas W., aged 58, operated on by Mr. Hilton, but died two
weeks afterwards of suppuration of the kidneys, and pneumonia.
Insp. 65. 1855.
21047\ Bladder wounded in the operation of lithotomy. The point
of the knife penetrated the right side of the bladder,
opposite to the place of incision. The boy quickly died
of peritonitis.
210476. Bladder of a patient who died after the operation of litho¬
tomy. The mucous membrane presenting numerous spots
of irregularity, thickening, and abrasion, chiefly on those
parts which form the summits of the rugse.
George W., aged 48, operated on by Mr. Cooper in 1829, and he
died a week afterwards.
8. Green Insp. Book, p. 137; and 1. Note-book, p. 139.
210478. A piece of false membrane covered with calcareous deposit,
removed from the lips of the wound after lithotomy.
Mr. Hilton, Sept., 1850.
210484. Bladder somewhat contracted, in which the cervix was torn
off by violence.
210485. Bladder everted to show two rents in the mucous membrane,
caused by fracture of the pelvis.
Joseph F., aged 16.
Insp. 136. 1855.
54
210486. Bladder lacerated and perforated from fracture of the pelvis
E. S., aged 55.
Insp. 209. 1855.
210490. Bladder apparently pierced by the catheter.
David J., aged 32, admitted for injury to the pelvis, from which he
died in three days. A catheter was frequently passed, and it was
thought that the opening seen in the fundus was caused by this instru¬
ment, as it was difficult to account for it in any other way.
Insp. 210. 1855.
2 1 0491. Bladder, showing an injury at its upper part by repeated
catheterism. The patient was in the habit of passing the
instrument himself.
Mr. Hilton.
2 1 0493. Part of the rectum, bladder, and penis torn off
done to the pelvis.
James K., struck by a piece of boiler, and survived two hours.
10. Green Insp. Book, p. 98.
by violence
I
URINARY CALCULI.
2105. Lithic or uric acid as an amorphous deposit, in very fine
crystals.
2106. Lithic acid in the form of very fine crystallized sand.
2107. Lithic acid in the form of small calculi or gravel, passed
through the urethra.
2108. Nine specimens of lithic acid passed by the urethra; two in
1824, the others in the following year. They exhibit a
gradual increase in size from sand to the magnitude of
large peas.
Sir AstJey Cooper.
55
2109. Lithic acid, both in the form of sand and gravel.
2110. Urinary gravel, probably for the most part consisting of
lithic acid, but accompanied by some of the phosphates.
2 11025. Fragments of lithic acid calculus apparently broken up by
the lithotrite.
21 1050. Fragments of a lithic acid calculus brought away by litho-
trity from a private patient of Mr. Key.
21 1075. Fragments of lithic acid calculus apparently broken by the
lithotrite.
2112. Small lithic acid calculus.
2113. Section of a lithic acid calculus, of a remarkably round figure.
It weighed 5 drachms 9 grains. It is remarkable from
having no defined nucleus, the interior consisting of small
granules, and the very centre being a cavity.
Analyzed by Dr. B. Babington.
21 1350. Calculus, consisting of urate of ammonia and uric acid,
removed successfully by Mr. Morgan from Nathaniel H.,
a patient in hospital in the year 1835.
Analyzed by Mr. Brett.
2114. Section of lithic acid calculus which weighed 3 ounces
1 drachm 31 grains, and in which the crystalline form
predominates, removed successfully from W. W., aged
56, by Mr. Lambert of Newcastle, June 17, 1760. The
patient lived seven years afterwards, and worked at his
trade.
See counterpart, 221611. Presented by Mr. Key.
21 1435. Calculus, removed by Mr. Key from a private patient,
July, 1837.
21 1450. Urinary calculus, successfully removed from Charles W. by
Mr. Key.
56
21 1470. Section of a lithic acid calculus of a pretty large size.
Is said to have a very thin layer of fusible calculus on
its surface. Dr. G-. Bird found it completely soluble in
potash.
211480. Lithic acid calculi, three in number, removed by Mr. B.
Cooper from William M., aged 54, July, 1841.
2115. Section of a large lithic acid calculus. The corresponding
section is noticed in Dr. Marcet’s work.
2116. Section of a lithic acid calculus, of a light colour, and loose
texture. The nucleus consists of urate of ammonia, with
traces of urate of soda. The circumference of irregular
tubercular masses of uric acid, mixed with urate of lime.
Analyzed by Dr. G. Bird.
2117. Section of a small and very circular lithic acid calculus
formed of numerous very thin concentric layers, in which
the crystalline form predominates, found in the bladder
after death. A small calculus had been previously
removed by the forceps. The patient probably died from
disease of the kidneys.
Mr. Key.
211 750. Calculus, removed successfully by Mr. Key, Nov. 19, 1839.
2118. Sections of small circular lithic acid calculus.
Mr. Key.
2119. Two sections of lithic acid calculus, of considerable size and
an elongated figure. The central part compact, and con¬
sisting of amorphous deposit ; the outer part crystalline.
The nucleus consists of uric acid, the body of uric acid
and urate of lime, and the crust of uric acid. Specific
gravity 1*64, The calculus is remarkable from having
its nucleus situated very near to the surface.
Removed by Mr. B. Cooper, and analyzed by Dr. G. Bird.
h 57
2119*°. Calculus, consisting of a nucleus of lithic acid, and body of
the same, with a small proportion of triple phosphate.
This calculus is said to have been removed by Cheselden.
Analyzed by Dr. Rees.
Presented by Mr. W. H. Smith.
2120. Section of lithic acid calculus, the layers of which are by no
means compact, and present a singular arrangement,
inducing the idea of there having been two nuclei.
2121. Section of lithic acid calculus, removed by Mr. Cooper.
The central part compact, and consisting of amorphous
deposit ; the outer part highly crystalline. Dr. Bird
found the nucleus to consist of urate of ammonia, and
the body of uric acid and urate of lime. The radiating
external portions of the body assumed a waxy lustre on
rubbing or scraping, which induced Dr. Bird to suspect
the presence of uric oxide, though he could not satisfac¬
torily determine the point.
2122. u Section of a large lithic acid calculus, of a light colour,
and very spongy texture ; weight, four hundred and
twenty-eight grains.” It contains urate of soda, with urate
of lime in smaller quantity.
Removed from W. W., aged 50, by Mr. B. Cooper.
Dr. G. Bird.
2124. Section of lithic acid calculus. Nucleus, urate of soda with
rude acid ; body, urate of lime.
Analyzed by Dr. G. Bird.
2125. Section of a very compact and mammillated calculus, very
much like the mulberry calculus, but composed of lithic
acid 5 weight, two hundred and fifty-eight grains.
Removed by Mr. B. Cooper from G. V., aged 14.
Analyzed by Dr. Babington.
2126. Section of lithic acid calculus.
2126"°. Calculus, consisting externally of crystals of fusible calculus.
Body, lithic acid, with traces of lithate of ammonia ;
58
nucleus, lithic acid. Several of the layers also consist of
lithic acid, with traces of phosphate of lime.
Analyzed by Dr. Rees.
212650. Urinary calculus, having for its nucleus lithic acid. Body,
lithic acid and lithate of ammonia ; crust, lithate of lime
and ammonia.
212660. Urinary calculus composed of uric acid, with much urate
of lime and ammonia.
Removed by Mr. Cooper. Analyzed by Dr. G. Bird.
212 670. Eight calculi, of about the size of marbles, having for their
crust urate of ammonia and lime, with uric acid ; nucleus,
the same. Specific gravity U46.
Removed by Mr. Key from a middle-aged man from Faversham
in Kent.
2127. Section of lithic acid calculus, weighing two drachms.
Removed from S. P., aged 50, by Mr. B. Cooper, March 19, 1828.
5. Green Insp. Book, p. 152.
2128. Section of lithic acid calculus; weight, three hundred and
eight grains. Nucleus compact ; the greater part crystal¬
lized.
Removed by Mr. Key. Analyzed by Dr. Babington.
2129. Section of lithic acid calculus.
212950. Calculus, having for its nucleus uric acid; and body, urate
of ammonia and fusible calculus. Specific gravity U580.
Removed by Mr. B. Cooper from a boy aged 5, December, 1839.
2130. Section of lithic acid calculus ; weight, seventy-eight grains.
The nucleus is of a darkish colour, but the greater part
of the calculus has a slight greenish tinge.
Removed by Mr. Key. Analyzed by Dr. Babington.
2131. Sections of lithic acid calculi, the one weighing two hundred
and seven grains, and the other one hundred and seventy-
59
*
eight grains. Their figure is remarkably irregular, and
covered with very minute crystals ; their centres hollowed
and fissured, but their substance generally compact, and
of a lightish colour.
Removed by Sir A. Cooper. Analyzed by Dr. Babington.
2132. Section of small lithic acid calculus, of a remarkably light —
nearly white — colour.
Analyzed by Dr. Babington.
2133. Section of small light-coloured lithic acid calculus; weight,
eighteen grains, of irregular figure and loose texture.
Analyzed by Dr. Babington.
2135. Fragments of a very irregular calculus, composed of lithic
acid, and weighing one hundred and sixty-one grains.
Removed by Mr. B. Cooper from P., aged 78.
2136. Urinary calculi, consisting of lithic acid, lithate of soda, and
ammonia, with traces of phosphate of lime, oxalate of
lime being scattered in small masses through the body.
These calculi have evidently been moulded in the kidney,
and no doubt taken therefrom.
Analyzed by Drs. Bird and Brett.
213 650. Calculus, consisting mainly of urate of ammonia, with
traces of uric acid and earthy phosphates. The layers
appear cemented together by dried blood. Dr. Bird has
referred to the remarkable fissure running through this
calculus, appearing as if made up of two separate stones,
which had become united, and subsequently framed in
by a deposit of urate of ammonia.
Removed from Benjamin B., aged 3 years and 9 months, by Mr.
Key, September, 1835.
Analyzed by Mr. Brett.
213660. Urinary calculus broken up ; chiefly composed of urate of
ammonia.
GO
Analyzed by Dr. G. Bird.
2137. Fragments, composed of litliate of soda.
Dr. Wollaston, 1825.
<
2138. Two sections of a large oxalate of lime calculus, remarkable
for its cubical figure. It consists of two portions — one a
tolerably oval nucleus, formed of radiating needles de¬
posited in the centre of the concretion ; weight, 3 ounces
6 drachms 2 grains.
Removed from J. A., June 30, 1806.
213814. Cast of a mulberry calculus.
Presented by Mr. Dunn of Scarborough.
213828. Calculus, composed of oxalate of lime, weighing 4 dwts.
16 grains.
Removed by Mr. Key from Thomas R., aged 8, March, 1830.
213830. Urinary calculus, composed of crystallized oxalate of lime.
Analyzed by Dr. G. Bird.
213842. A small mulberry calculus, remarkably tuberculated on the
surface, and covered with glistening crystals of oxalate of
lime in four-sided prisms.
Removed by Mr. Key from William R., aged 14, October 12, 1830.
Analyzed by Dr. G. Bird.
213850. Calculus, composed of oxalate of lime, having glistening
crystals on its surface.
Removed by Mr. Key from William H., aged 12, October 12, 1830.
213860. Urinary calculus, composed of oxalate and phosphate of
lime.
Removed by Mr. Key from William H., aged 21, October 18, 1848.
2 1 3870. Section of a large mulberry calculus, removed by B. Gibson,
Esq., Halstead, Essex. Between the body and outer layer
of this calculus, there is a space which appears to have
been occupied by soft animal matter.
213884. Section of a mulberry calculus.
Removed by Mr. Cooper, July, 1837. Analyzed by Dr. Rees.
61
2139. Oxalate of lime calculus, from the pelvis of the kidney and
commencement of the ureter ; and three of smaller size,
from the infundibula of the kidney of an elderly man.
6. Green Insp. Book, p. 35.
213925. Calculus, consisting of oxalate of lime. The nodules on
the surface are filled in with an opaque mass of deposit.
Specific gravity 1*8.
Removed by Mr. B. Cooper, 1839. Analyzed by Dr. G. Bird.
213935. Oxalate of lime calculus.
Removed by Mr. Key, November 19, 1839.
213950. Calculi, passed without operation by Mr. K., March, 1831.
Presented by Mr. Stocker.
21 3975. Small calculus, consisting of oxalate of lime, passed by a
female patient.
Dr. Rees.
2140. Section of oxalate of lime calculus, weighing two hundred
and forty-four grains. Analyzed by Dr. Babington. The
piece of copper wire seen at its upper part was probably
inserted in an attempt to bore this calculus in order to
suspend it.
2140'50. Section of an oxalate of lime calculus.
Removed by Mr. Key. Analyzed by Dr. G. Bird.
2141. Small mulberry calculus, removed by Mr. Key from J. H.
In one direction it presents somewhat of a cubical figure.
2142. Small mulberry calculus, extracted from the bladder with
Sir A. Cooper’s forceps by Mr. Key.
214215. Calculus composed of oxalate of lime, with much colouring
matter of blood. Specific gravity 1*80.
Removed by Mr. Key, March, 1839. Analyzed by Dr. Bird.
62
214220. Urinary calculus, having for a nucleus urate of ammonia
and oxalate of lime. Body, uric acid and phosphates.
Removed by Mr. Key. Analyzed by Dr. Bird.
214225. Urinary calculus, having for a nucleus oxalate of lime, lithic
acid, and lithate of ammonia. Body, oxalate of lime,
triple phosphate, lithic acid, and lithate of ammonia ;
crust, the white crystalline part triple phosphates, with
traces of carbonate of ammonia.
Removed by Mr. Key, February, 1843. Analyzed by Dr. Rees.
214230. Calculus, consisting of oxalate of lime, surrounded by earthy
phosphates. Specific gravity 1*6.
Successfully removed by Mr. Key, 1839. Analyzed by Dr. Bird.
214240. Urinary calculus, the body composed of oxalate of lime,
and the crust of mixed phosphates. Specific gravity 1’5.
Removed by Mr. B. Cooper. Analyzed by Dr. Bird.
214250. Calculus, consisting of external layers of crystals and oxalate
of lime, deposited on a dense layer of oxalate, with a
minute proportion of phosphate of lime ; internal soft
layer, carbonate and phosphate of lime, with lithic acid.
Removed from a boy aged 7, by Mr. Cooper, June, 1837. Analyzed
by Dr. Rees. See Guy’s Hosp. Rep., Series I. vol. ii. p. 409.
214260. Urinary calculus, consisting of nucleus of uric acid, sur¬
rounded by urate of ammonia, Body, oxalate of lime ;
crust, mixed phosphates chiefly, with a covering of crystals
of triple phosphate.
Removed by Mr. Key, December, 1843. Analyzed by Dr. Bird.
214275. Calculus.
Removed by Mr. B. Cooper, from a girl 19 years of age, by dilatation
of the urethra, January 15, 1840.
2143. Large cystic oxide calculus, of a beautiful bluish-green
colour. This is the same calculus described and figured
by Dr. Marcet in his work published in 1817 ; and the
63
second specimen analyzed by Dr. Wollaston, the discoverer
of this variety of calculus, and described by him in the
Philosophical Transactions for 1810. He found it acci¬
dentally amongst the collection of Guy’s Hospital. When
described by Dr. Marcet it was of a brown colour, but is
now bluish-green, as here seen. It has been of this colour
at least since the year 1830, and perhaps longer. This
calculus is an inch and a fifth long, and one inch broad,
and is probably the largest specimen of the kind recorded.
See drawing, 36993.
2144. Three small cystic oxide calculi, beautifully crystallized
externally. They are described in Dr. Marcet’s work
as having been passed by Mr. B., aged 30, a stationer
in the city, in the year 1814. About seven years before,
he had been cut for stone, and a calculus extracted much
resembling prep. 2143. He subsequently suffered from
pain in the loins, followed by htematuria and the passing
of cystic oxide calculi.
2145. Six small cystic oxide calculi, resembling the preceding, and
very beautifully crystallized, subsequently passed by Mr.
B. These have likewise undergone a change in colour,
being now of a greenish hue.
214535, Cystic oxide calculus, of a greyish colour and form of an
eardrop, passed also by Mr. B. in the year 1828.
Drawing, 86991.
214570. Small oval urethral calculus, composed of cystic oxide or
cystine.
Removed by Mr. Key. Analyzed by Dr. G. Bird.
The subject of it was a young gentleman, 12 years of age, of a delicate
and strumous habit. He never had any urinary symptoms until May,
1836, when he found he was unable to micturite. Mr. Key’s assistance
was sought, and the present calculus removed from the urethra. It
presented, when quite recent, an amber and translucent appearance,
and had not altered when described by Dr. Bird three years after¬
wards ; it now, however, has a slight greenish hue on the cut surface.
The urine of this boy also contained cystine. See analysis on the card.
See Guy's IIosp. Rep., Series I. vol. i. p. 488.
64
2145P0. Portion of xanthic oxide calculus. This fragment is part
of a calculus as large as a pullet’s egg, and weighed three
hundred and thirty-nine grains. Its section was a lustrous
bright brown, and composed of concentric separable layers,
without any appearance of crystalline or fibrous texture ;
it was hard, and had a wax-like lustre. It was removed
from a peasant child, eight years of age, by Professor
Langenbeck, at Hanover. Professor Stromeyer examined
it, and found it to consist of xanthic oxide, the only known
instance of its occurrence since Dr. Marcet’s discovery.
Professor Marx of Gottingen sent two fragments of the
calculus to Dr. Willis, one of which is in the Museum of
the College of Surgeons of London, and the other is the
present specimen.
See Guy’s Hosp. Rep., Series I. vol. vii. p. 202.
2146. A portion of gum elastic catheter, on which a thin and
partial calculus deposit has been formed. The deposit
is of a light colour, and probably consists of one of the
phosphates.
2147. Female catheter, the extremity of which is covered by a
pretty thick coating of triple phosphate acquired in four¬
teen days.
214 750. Bougie, coated with calculous matter, apparently phosphates,
removed from the bladder of a patient of Mr. Cooper.
John P., aged 44.
8. Green Insp. Book, p. 141.
2147s1. Bougie coated with phosphate of lime.
2148 Two calculi, composed of phosphate of lime ; the one large,
the other small. The latter has a smooth, polished,
convex surface, fitted by attrition to a corresponding
smooth concave surface on the former. Weight, 257
grains.
Removed by Sir A. Cooper. Analyzed by Dr. Babington.
2149. Two calculi, composed of phosphate of lime; the one 138
grains, the other 97.
Removed by Mr. B. Cooper from W. G., aged 54.
2150. Section of a small light-coloured calculus composed of phos¬
phate of lime. It has a spongy, cancellated structure.
“This is unlike any calculus I have seen; it seems to be
a bony concretion, and not a deposition.”
Dr. Babington.
215050. Calculus apparently composed of phosphate of lime.
2 1 507'5. Urinary calculus.
Removed by Mr. Key from a little boy, October, 1845.
2151. Small fragments of a light-coloured calculus, which appears
to be phosphate of lime.
2 15 125. Urinary calculus consisting of phosphate of lime, with a
little triple phosphate.
Removed by Mr. Ivey, and analyzed by Dr. Babington.
2151'°. Crystals of triple phosphate, being portions of a calculus found
after death in the bladder of a patient of Mr. Cooper.
George H., aged 52.
Trep. 210050.
1. Misc. Insp. Book, p. 104.
2152. Section of a large triple phosphate calculus of an elongated
oval fissure. Nucleus a piece of tobacco pipe.
Mr. Goodwin of Derby.
2153. Triple phosphate calculus covered with minute bright
crystals.
Removed by Mr. Key.
2154. Section of triple phosphate calculus — weight 205 grains.
It is remarkable as having no nucleus but a central
G6
cavity. It is lined with delicate crystals of triple phos¬
phate, resembling the crystals of quartz so often found
lining cavities in flints.
215413. Calculus which appears to be composed of triple phosphate.
Removed by Mr. Key from Richard E., aged 8. Nov. 1828.
215434. Calculus which appears to be composed of triple phosphate.
Removed by Mr. Key from Geoi'ge C., aged 12, Nov. 1828.
215436. Section of a fusible calculus of a very friable structure. It
appears to have received the form of the bladder, and
taken the impression of considerable contraction about
the neck. Nucleus urate of lime ; body ammonio-mag-
nesian phosphate, with phosphate of lime. The latter
readily fuses into a colourless limpid bead, and is remark¬
able as having been formed on one side only of the
calculus.
215448. A small irregular calculus of loose structure, and apparently
composed of the phosphates found in the pelvis of the
kidney, which was much enlarged, and which also con¬
tained a considerable quantity of pus.
Anne L., aged 29.
See prep. 206964.
1. Misc. Insp. Book, p. 92.
2154C0. Two small fusible calculi; the external layers loose and
friable. From a patient of Mr. Cooper’s. The exterior
is composed of fusible material, and the nucleus the same,
with some traces of uric acid. Specific gravity 1*31.
Analyzed by Mr. Brett.
215472. Section of a small fusible calculus, the external layers
having a crystalline radiating structure ; contains also a
small quantity of litliic acid.
Removed from a female urethra by Mr. Key.
Analyzed by Dr. Bird.
215484. Fusible calculus removed from a child six years old;
removed by Mr. Key. It will be seen how the fusible
part is deposited on one side of the nucleus.
67
2155. Calculus of considerable size, of an irregular figure, com¬
posed of oxalate and phosphate of lime. The nucleus
consists of oxalate. External to this is oxalate with some
phosphate ; and the outside is phosphate of lime. Oxide
of iron was detected in the ash by incinerating a portion
of this calculus. The external part of the calculus is
composed of phosphate of lime connected together by
dried blood, and giving the surface a mammillated char¬
acter. The oxide of iron is probably derived from the
dried blood.
Analyzed by Mr. Brett.
215525. Calculus removed from a boy, aged ten years, by Mr.
B. Cooper, December, 1829. The nucleus is composed
of uric acid. The clay- coloured part of oxalate of lime,
and the white part of the body of triple phosphate in
crystals. Specific gravity D510. Weight, 1^ ounces.
Analyzed by Dr. G. Bird.
2155''°. Fusible calculus matter in a furfaraceous form, deposited in
twenty-four hours. Weight, 7 drachms 37 grains.
From a lady about 36 years of age under Mr. Cooper.
2156. Sections of two fusible calculi having smooth worn corre¬
sponding convex and concave surfaces. Weight, 4 drachms
52 grains.
Removed by Sir A. Cooper. Analyzed by Dr. Babington.
2157. Section of fusible calculus. Weight, 90 grains.
Removed by Mr. Key.
2158. Fragments of three calculi composed of the fusible phos¬
phate, with some layers of the phosphate of lime ; they
appeared to be lodged in the prostate, and were removed
by Mr. Ivey. They weighed 1281 grains, and were fitted
together by smooth curved surfaces. It may have been
one calculus with three centres of deposit.
Drawing, 3G 996,97. Analyzed by Dr. Babington.
68
215850. Urinary calculus composed of fusible mixed phosphates.
Removed by Mr. Cooper.
2159. Section of fusible calculus. Weight, 5 drachms 9 grains. A
part of it is faintly tinged with pink.
Removed by Mr. Key from the body of a child. Analyzed by Dr.
Babington. This patient had passed a small elongated light pink
translucent calculus, which after some weeks completely deliquesced.
It was proved by Dr. Prout to consist of purpuric acid.
215950. Two calculi composed of the phosphates ; the first from
the bladder, and the second from a cyst in the perinteum.
Removed at the same operation by Mr. Key from Charles K., aged
7 years, January 14, 1829.
2160. Two sections of a fusible calculus of very spongy texture.
Removed from the body of a child, S. S., about 17 months old, by
Mr. Callaway. It has a very faint pink tinge.
6. Green Insp. Book, p. 12.
21 6050. Fusible calculus.
Removed successfully by Mr. B. Cooper. Analyzed by Dr. G. Bird.
2161. Section of fusible calculus. Weight, 40^- grains. This is
unlike most in being distinctly oval.
Removed by Mr. Key.
2162. Section of fragments of a fusible calculus with crystals of
triple phosphate. Weight, 6 drachms 56 grains.
Analyzed by Dr. Babington.
2163. Section of a very irregular-shaped fusible calculus. Weight,
3 drachms 43 grains. Removed by Sir A. Cooper. This
has evidently been formed in the pelvis of the kidney.
2163lfi. Urinary calculus. Nucleus composed of uric acid and
mixed phosphates, and body of mixed fusible phosphates.
Removed by Mr. Cooper. Analyzed by Dr. Bird.
GO
216325.
21G350.
2164.
216450.
2166.
21 6650.
Urinary calculus. Nucleus composed of uric acid, and
body of fusible mixed phosphates ; and surface covered
by crystals of triple phosphate.
Removed by Mr. Key. Analyzed by Dr. Bird.
Calculus ; the central portions consisting of a mixture of
litliic acid, with the ammonio-magnesian phosphate and
phosphate of lime. The body and external portions of
triple phosphate and phosphate of lime. This fused into
a white enamel before the blow-pipe. Traces of oxide of
iron were diffused throughout these concretions.
Removed successfully by Air. Busk of the hospital ship Dreadnought.
Section of a fusible calculus with a coating of triple phos¬
phate. Weight, 143 grains. Removed by Mr. Key. This
calculus bears the impression of the neck of the bladder.
The patient, a boy, was frequently troubled with retention
of urine.
Twelve calculi ; one of considerable size, the others much
smaller, modified by attrition. Removed after death from
John M. One of these calculi has been analyzed and
found to consist of the fusible phosphates, with slight
traces of lithate of ammonia.
Two sections of a calculus, the greater part oxalate of lime,
with a nucleus of litliic acid. Weight, 365 grains. The
irregular figure of the former deposit concealing the
smooth central portion of the latter substance.
Removed by Mr. Key. Analyzed by Dr. Babington.
Drawing, 36991.
Calculus of the mulberry variety. The body consisting of
oxalate of lime admixed with a small proportion of litliic
acid and phosphates. The nucleus of litliic acid with
traces of oxalate of lime.
Removed by Mr. Key, November, 183G, from William A., aged 14.
Analyzed by Dr. Rees.
70
2167. Section of a calculus of considerable size. Nucleus, lithic
acid ; exterior, oxalate of lime ; the intervening portion
composed of numerous thin alternate layers of lithic acid
and oxalate of lime.
2168. Section of a very remarkable compound calculus, consisting
of two zones of cystic oxide, with an oxalic nucleus. The
following is the composition as described by Dr. Bird : — -
1. Nucleus of oxalate of lime ; 2. A zone of green cystic
oxide ; 3. A zone of urate of ammonia, mixed with fawn
coloured cystic oxide ; 4. A zone of green cystic oxide ;
5. A layer of urates of ammonia and soda ; 6. Alternating
layers of urates of ammonia and soda, with oxalate of
lime.
Drawing, 36991.
2169. Section of a calculus weighing three hundred and ninety
grains. Removed by Mr. Cooper from B. S., aged 15.
Small nucleus of lithic acid, upon which is deposited a
considerable quantity of oxalate of lime, succeeded by
lithic acid and a few very thin layers of the oxalate.
2170. Section of a calculus weighing five hundred and eighty-
seven grains. Removed by Mr. Cooper. Nucleus, lithic
acid, succeeded by oxalate of lime, followed by a thick
deposition of compact lithic acid.
Analyzed by Dr. Babington.
2 1 7050. Small calculus of globular figure and mammillated surface.
It has an oval nucleus of uric acid, on which is deposited
a body of oxalate of lime, a crust of uric acid surround¬
ing the whole. It is remarkable from several pink lines
edging the concentric layers of oxalate of lime. This
colour appears to be due to purpurine, or the common
pink deposit of urine.
Removed by Mr. Key, August, 1828. Analyzed by Dr. G. Bird.
Drawing, 36991.
2171. Section of a calculus of considerable size. The nucleus
appears to be lithic acid followed by oxalate of lime, upon
which is a dark, very compact lamellated deposit- of lithic
71
acid. It shows well how the intestines between the
various projections are filled up with the uric acid deposit,
so that it would be impossible to tell from its external
appearance that it contained so large a nucleus of oxalate.
2172. Section of calculus, with nucleus of lithic acid, succeeded by
oxalate of lime, followed by a thick external deposit of
lithic acid.
2173. Section of a calculus, of which the central part is lithic acid,
of a light colour, and very loose texture, with a thin coat¬
ing of mulberry calculus. It has a rounded figure.
2174. Section of a calculus composed chiefly of lithic acid, with a
nucleus of oxalate of lime.
217425. Large urinary calculus, having for a nucleus oxalate of
lime, and body uric acid and urate of ammonia. Specific
gravity l- 712.
Removed by Mr. B. Cooper. Analyzed by Dr. G. Bird.
217450. Section of a large calculus, principally composed of lithic
acid upon a nucleus of oxalate of lime. The external
crust consists, as regards the white portion, of ammonio-
magnesian phosphate, with a small proportion of phosphate
of lime, so that it is only imperfectly fusible ; the fawn-
coloured portion consists of urate of ammonia, with a
small proportion of urate of lime, uric acid, and the earthy
phosphates. The body of uric acid, urate of ammonia, a
small proportion of muriate of soda, and earthy phosphates.
The two first ingredients make up the great bulk of the
calculus. The nucleus consists of oxalate of lime in several
portions, cemented together by a mixture of the same
ingredients as those existing in the body of the calculus.
Removed after death by Mr. Foaker of Great Baddon, Essex.
2175. Section of a large calculus composed chiefly of lithic acid,
with a nucleus of oxalate of lime. There is, perhaps, a
little lithic acid in the centre of the nucleus. Weight,
518 grains.
Removed by Mr. Key.
2176. Section of a calculus, of which the greater part is phosphate
✓
of lime, with a nucleus of litliic acid.
2176'50. Section of a calculus weighing 2 ounces 1 drachm, com¬
posed principally of lithic acid, with a thin coating of
phosphate of lime.
Removed after death from William G., aged 68.
1. Misc. Insp. Book, p. 85.
2177. Section of a small calculus of triple phosphate, with a nucleus
of lithic acid.
From a boy, aged 4. Removed by Mr. Key, February, 1828.
.2178. Section of a calculus composed of lithic acid, with a coating
of triple phosphate. Weight, 118 grains.
Removed by Mr. Key. Analyzed by Dr. Babington.
217850. Section of a small globular calculus, composed of uric acid,
urate of ammonia, and urate of lime. Specific gravity 1*7.
Analyzed by Dr. Bird.
2179. Section of a calculus weighing ninety grains. Nucleus,
lithic acid ; exterior, fusible calculus.
Analyzed by Dr. Babington.
217950. Section of a calculus weighing one hundred and sixty
grains, said to be composed of lithic acid internally, and
fusible phosphates externally ; but it appears also to
contain one or more layers of oxalate of lime.
Removed by Mr. Cooper. Analyzed by Dr, Babington.
1. Note-book, p. 68.
2180. Section of a calculus weighing eight hundred and eighty-
eight grains. The inner and greater part of this calculus
composed of lithic acid of loose texture; the outer part
fusible calculus.
K
Removed by Mr. Key.
73
2181. Section of a large elongated calculus, composed chiefly of
the fusible phosphate, with a nucleus of lithic acid;
21 8135. Calculus, consisting of a nucleus of lithic acid of loose
texture ; exterior, fusible phosphates, with a few thin
intervening layers of lithic acid.
Removed after death by Mr. Callaway. Analyzed by Dr. Rees.
2 1 8 1 70. Fragments of a fusible calculus, having a radiated loose
structure, with a small nucleus of lithic acid and lithate
of ammonia. The crust of fusible material.
Removed by Mr. Key.
218233. Section of a calculus, composed internally of lithic acid;
externally, of fusible calculus, with carbonate of lime.
Removed by Mr. Key. Analyzed by Dr. Rees.
218277. Calculi, consisting of carbonate of lime, with mere traces of
carbonate of magnesia and alumina.
2183. Section of a small compact fusible calculus, with a lithic acid
nucleus.
218360. Section of a calculus, composed internally of lithic acid ;
externally, fusible. Weight, half an ounce.
Removed by Mr. B. Cooper.
218375. Calculus and fragment ; the body is composed of fusible
matter, and the exterior of fusible with lithic acid.
The fragment is also composed of lithic acid and fusible
calculus.
Removed by Mr. Key, September, 1839. Analyzed by Dr. Rees.
2184. Section of a large calculus weighing one thousand eight
hundred and forty-eight grains, composed internally of
lithic acid of loose texture, followed by a thin layer of
phosphate, with a thick outer part of compact lithic acid.
It will be observed that the outer edge has a purplish
colour.
74
I
2185. Section of an alternating calculus, composed of triple phos¬
phate, with an intermediate layer of lithic acid.
2186. Section of a calculus composed chiefly of lithic acid, which
is separated into numerous layers by very thin inter¬
mediate deposits of phosphates.
Removed by Mr. Key from a boy two years and four months old.
2187. Section of a calculus, of considerable size, composed chiefly
of lithic acid, separated by very thin layers of triple
phosphate, and coated with fusible matter.
Removed by Sir A. Cooper.
218750. Calculus composed of lithic acid internally, and carbonate
of lime externally. The structure of this calculus is
remarkable, the outer layer of the nucleus being broken
into fragments, and separated from each other, yet firmly
imbedded in the crust.
2188. Section of a large calculus, having a large nucleus of oxalate
of lime, coated by fusible matter.
Removed from John H., aged 8, October 25, 1776.
218836. Two sections of a large calculus weighing 6 ounces 5 drachms,
consisting of a large nucleus of oxalate of lime, with
several loose layers of the phosphates, and apparently a
slight recurrence of oxalate of lime.
from John C., aged 40. November, 1829.
8. Green Insp. Book, p. 167.
2188 . Calculus, moulded to the infundibula of the kidney. The
crust is smooth, of a very pale brown, and fusible ; the
interior perfectly white and hard, apparently consisting
of oxalate of lime, mixed with phosphates. This calculus
contains no lithic acid, and is interesting by showing that
all kinds of calculi may be formed in the kidneys.
75
2189. Section of an alternating calculus, composed of layers of
oxalate of lime and fusible matter. The former constitutes
the nucleus.
2190. Section of a calculus, composed of alternate layers of oxalate
of lime and triple phosphate. The former predominates
internally, the latter towards the surface.
Removed by Mr. Key.
2191. Section of a calculus, composed of oxalate of lime and triple
phosphate. The former predominating internally, the
latter externally.
21 9 110. Urinary calculus, having for a nucleus oxalate of lime, and
body triple phosphate.
Removed by Mr. Cooper. Analyzed by Dr. Bird.
219 120. Section of a large regular calculus, which weighed 7 ounces
7 drachms, removed after death from a patient of Mr.
Cooper. It consists of a nucleus, and the stellated portion
around it of oxalate of lime ; the next band, phosphate
of lime ; from this band outwards, phosphate of lime,
with variable proportions of triple phosphate of ammonia
and magnesia. The rough patch at the end of the outer
smooth surface consists of triple phosphate of ammonia
and magnesia, with a little phosphate of lime.
Analyzed by Dr. Babington.
1. Note-book, p. 217.
219T’°. Cast of the preceding calculus.
21 9 140. Section of a calculus of an oval figure, upwards of two
inches in length by one inch and three-quarters in width,
removed successfully by the high operation by Mr. Key
from a little girl eight years of age. It consists of a
nucleus of oxalate of lime, and a body compounded of
layers of lithic acid and the phosphates.
Analyzed by Dr. Rees.
70
219160. Section of a calculus, removed by Mr. Cooper, consisting
internally of oxalate of lime ; externally, of triple phos¬
phate and carbonate of lime. February, 1833.
Analyzed by Dr. Rees.
219180. Calculus, removed by Mr. Morgan, August 22, 1837. It
appears to be composed of alternating layers of lithic
acid and phosphates.
2192. Section of a calculus, composed internally of lithic acid
followed b}r the fusible, and coated by the mulberry
calculus ; firmly granulated, and remarkably polished.
2193. Section of a calculus weighing five hundred and eighteen
grains, composed principally of crystallized compact lithic
acid. It has a nucleus of oxalate of lime, and a thin
coating of phosphates.
Removed by Mr. Key. Analyzed by Dr. Babington.
2194. Section of a calculus, composed chiefly of lithic acid. Not
far from the centre there is a thin layer of oxalate of
lime, and a thin external one of triple phosphate.
Removed by Mr. Key. Analyzed by Dr. Dowler.
2194°°. Section of a calculus, of which the nucleus and major part
consists of lithic acid, with thin intermediate layers of
oxalate of lime and the phosphates.
2195. Section of a calculus, having a nucleus of lithic acid,
succeeded by a deposition of oxalate of lime, and coated
with friable matter, which covers up all the inequalities
of surface.
2196. Section of a calculus, having a nucleus of lithic acid,
succeeded by oxalate of lime, upon which there is a
deposition of lithic acid. External to this there are
numerous thin layers of phosphate of lime and lithic acid,
in which the former predominates. The oxalate layer
has a slightly radiated appearance.
77
2197. Section of a calculus having a nucleus of oxalate of lime,
followed by alternate layers of lifhate of ammonia and
the phosphates.
219750. Two sections of a small calculus composed of lithic acid,
phosphate, and oxalate of lime.
Removed by Mr. Key.
2198. Section of an alternating calculus, weighing nine hundred
and thirteen grains ; nucleus, lithic acid ; inner dark
layer, oxalate of lime ; powdery layers, fusible calculus ;
smooth dark layer, phosphate of lime ; white crystallized
coat, triple phosphate. It is remarkable from the phos¬
phate being deposited all on one side.
Case of John W. See prep. 2084.
Analyzed by Dr. Babington.
2199. Section of a calculus having a nucleus of lithic acid, and
covered by alternate layers of oxalate and phosphate of
lime, with a thick external coating of phosphate of lime.
The form which these deposits take is well seen in this
calculus ; the uric acid nucleus being smooth externally;
the oxalate of lime around this having a very irregular
surface ; and then again the irregularities of this being
filled up by the phosphates.
2200. Section of a calculus having for a nucleus lithic acid, fol¬
lowed by alternate layers of oxalate of lime and the phos¬
phates, in which the former predominates; and coated with
fusible calculus.
2201. Section of a calculus having a considerable nucleus of lithic
acid, followed by alternate layers of oxalate of lime and
the phosphates, in which the former greatly predominates,
and coated with fusible matter.
220135. Calculus, removed by Mr. Cooper. Nucleus, lithic acid
and oxalate of lime alternating with traces of lithate of
ammonia. Body lithic acid, and coating fusible.
Analyzed by Dr. Rees.
78
22Q170. Calculus, removed by Mr. Cooper. Nucleus, oxalate of
lime ; body, alternating layers of lifhic acid and fusible
calculus, and crust fusible.
Dr. Rees. May, 1834.
2202. Section of a calculus, weighing seven drachms and one
scruple, composed chiefly of lithic acid. It has a nucleus
and thin covering of oxalate of lime. Beneath the coating
there is a deposit of triple phosphate ; and a very minute
quantity of the same deposit appears to exist between the
layers of lithic acid.
Removed by Mr. Key from a young woman who had laboured ten
years under the complaint.
Analyzed by Dr. Babington, 1828.
220250. Calculus, composed internally of lithate of ammonia, and
externally, fusible calculus.
Removed by Mr. Cooper from James S., aged six years, Jan., 1835.
Analyzed by Dr. Babington.
2203. Section of a compound calculus, consisting of oxalate of
lime, with an admixture of lithic acid ; some of the layers
appear to consist almost entirely of the latter.
Removed by Mr. Key. Analyzed by Dr. Babington.
220310. Two sections of a calculus. Nucleus, urate of ammonia ;
body, uric acid ; crust, oxalate of lime. Specific gravity
1-681.
Removed by Mr, Cooper. Analyzed by Dr. Bird.
220320. Compound urinary calculus of large regular figure and
uneven surface, removed by Mr. Key. It consists inte¬
riorly of lithic acid, lithate of ammonia, and triple phos¬
phate ; external crust, oxalate of lime with lithic acid.
February, 1835.
Analyzed by Dr. Rees.
22 0340- Calculus, having for a nucleus lithate of ammonia ; body,
lithate of ammonia, with traces of oxalate of lime ; external
crust, oxalate of lime, with lithic acid and phosphate of
79
lime ; inner crust, lithic acid, with traces of earthy phos¬
phates. The small substance imbedded in the body of
the calculus consists of oxalate and phosphate of lime.
Removed by Mr. Cooper, 1837. Analyzed by Dr. Rees.
2203f’°. Calculus, consisting of — external layer, oxalate of lime, with
lithate of ammonia and phosphate of lime ; body, same
in composition, with occasional layers of oxalate of lime
unmixed ; nucleus, oxalate of lime.
Removed by Mr. Cooper, August, 1837. Analyzed by Dr. Rees.
220380. Calculus weighing twenty-two grains ; it consists of oxalate
and carbonate of lime, and lithate of ammonia.
Removed from a boy by Mr. Cooper, March, 1835.
2204. Section of a compound calculus, consisting of lithic acid and
oxalate of lime.
2205. Section of a compound calculus consisting of lithic acid
and oxalate of lime, on a nucleus of lithic acid.
220G. Section of a compound calculus consisting of lithic acid
and oxalate of lime, on a nucleus of lithic acid.
220G14. Compound urinary calculus of considerable size, of a regular
ovoid figure, with uneven surface, consisting of lithic acid,
oxalate of lime, and phosphate of lime.
22 OG'8. Calculus, removed by Mr. Key in June, 1831. The nucleus
consists of lithic acid, apparently impure. This is suc¬
ceeded by oxalate of lime, forming an irregular coat.
This again followed by lithic acid and lithate of ammonia ;
and the whole again encompassed with an external dark
crust of oxalate of lime.
Analyzed by Dr. Rees.
220G43. Calculus, removed by Mr. Key from a boy, consisting of a
nucleus of lithate of ammonia, succeeded by oxalate of
lime, with lithic acid, and crusted with triple phosphate.
February, 1834.
80
Analyzed by Dr. Rees.
220656. Calculus, with a nucleus of lithic acid of loose texture, and
probably impure, succeeded by oxalate of lime and fusible
calculus, with a coating of the latter.
Removed by Mr. Morgan, Feb., 1833. Analyzed by Dr. Rees.
220670. Calculus, removed by Mr. Cooper. It was enveloped in a
complete cystiform layer of albuminous matter. Nucleus,
oxalate of lime, with a considerable proportion of lithic
acid. The body the same as the nucleus, but the lithic
acid in very small proportion. Phosphate of lime seemed
to cement the small spherical protuberances that make up
the outer coat.
Analyzed by Dr. Rees.
220679. Sections of urinary calculus. Nucleus, lithic acid ; body,
oxalate of lime and lithic acid ; crust, externally, oxalate
of lime — internally, carbonate of lime.
Removed by Mr. Cooper. Analyzed by Dr. Bird.
220684. Calculus, removed by Mr. Cooper, consisting of a nucleus
of oxalate of lime, and body of lithic acid, intersected by
a layer of oxalate of lime ; external crust also oxalate of
lime. The body of the stone contains a quantity of the
phosphates mixed with lithic acid.
Analyzed by Dr. Rees.
2207. Section of a compound calculus, consisting of a mixture of
lithic acid and triple phosphate on a nucleus of lithic acid.
Removed by Mr. Key. Analyzed by Dr. Dowler.
2208. Section of a compound calculus, consisting of impure oxalate
of lime on a nucleus of lithic acid.
2209. Section of a calculus, the extreme nucleus of which is lithic
acid, exterior to which is a mixture of lithic acid and
oxalate of lime ; then a thin layer of oxalate of lime,
followed by several compact layers of lithic acid, and
surrounded by a thin coating of fusible matter.
Removed by Mr. Key. Analyzed by Dr. Dowler.
l 81
2210. Section of a large compound calculus, having a nucleus of
oxalate of lime, followed by a loose and friable layer of
urine and blood, with a thick and compact exterior of
lithic acid.
Removed by Sir A. Cooper. The patient had suffered under symptoms
of calculus for forty years.
2211. “Section of a calculus, composed of triple phosphates,
coloured by an admixture of lithic acid ; it fuses before
the blowpipe.” Fusible calculus (?).
Removed by Mr. Key. Analyzed by Dr. Dowler.
2212. Section of a calculus, weighing ninety -four grains, composed
chiefly of triple phosphate, but having numerous layers
coloured by purpuric acid.
Removed by Mr. B. Cooper from W. P., aged three and a half years.
22125. Calculus, consisting of an external coat composed of lithic
acid with fusible matter ; body of lithic acid, triple phos¬
phate, and lithate of ammonia ; nucleus of lithic acid with
oxalate of lime. There is a crust of the calculus apparent
on the surface at one part, which is similar in constitution
to the nucleus.
Removed by Mr. Morgan from John P., aged 35, Jan. 31, 1835.
Analyzed by Dr. Rees.
22 1210. Calculus, the external crust consisting of fusible matter,
with lithic acid and lithate of ammonia. The middle
white layer of fusible calculus, with lithic acid and lithate
of ammonia in less proportion. The body of lithate of
ammonia, with traces of lithic acid and fusible calculus.
Removed by Mr. Key, 1837. Analyzed by Dr. Rees.
22 1215. Fragments of a calculus, composed of lithate of ammonia,
lithate of lime, and phosphate of lime ; the superficial
layers intermixed with red particles of blood. Specific
gravity 1'40.
82
Analyzed by Mr. Brett.
22 1220. Section of a calculus, of an ovoid figure, which weighed
nearly three ounces. Removed after death from a patient
of Mr. Key in 1834. The nucleus and body consist of
lithic acid, with lithate of ammonia ; the succeeding
layers of lithic acid and lithate of ammonia ; the external
crust of fusible matter.
Analyzed by Dr. Rees.
221221. Calculus, composed of lithate of ammonia.
Removed by Mr. B. Cooper. Analyzed by Dr. Bird.
22 1222. Calculus, composed of lithate of ammonia. Specific
gravity 1*457.
Removed by Mr. B. Cooper. Analyzed by Dr. Bird.
22 1223. Section of a calculus, composed principally of lithate of
ammonia.
Removed from a boy, aged four years, by Mr. Key in 1839.
Analyzed by Dr. Rees.
22 1225. Section of a calculus, specific gravity 1*06, which has
received the form of the bladder which it nearly filled ;
its surface is smooth, except where it corresponded to the
fundus, where it is irregular and somewhat crystalline.
The nucleus consists of uric acid and urate of ammonia.
The alternate fairer-coloured layers of urate of ammonia
and uric acid. The white concentric layers of fusible ;
and the superficial crust of urate of soda, urate of ammonia,
urate of soda and uric acid in small quantity.
Analyzed by Mr. Brett. See bladder, 209248.
7. Green Insp. Book, p. 126.
221280. Calculus, removed by Mr. Key in 1835. It is of remarkable
figure, elongated, and curved. The nucleus consists of
oxalate of lime and urate of lime, of equal quantities.
The body and crust consist of triple phosphate, urate of
ammonia, and urate of soda.
Analyzed by Messrs. Brett and Bird.
83
22 1 232. Section of urinary calculus, having a body of uric acid ;
crust, of urate of lime and phosphates. Specific gravity
1-545.
Removed by Mr. B. Cooper. Analyzed by Dr. Bird.
22 1235. Two urinary calculi — No. 1. Specific gravity 1*7, composed
of uric acid, urate of ammonia, urate of lime, and earthy
phosphates; No. 2. Specific gravity 1*68, composed of
uric acid, urates of ammonia, and lime, phosphate of lime
in small quantity.
Removed by Mr. B. Cooper from a private patient, aged 57, June,
1835. Analyzed by Messrs. Brett and Bird.
221240. Section of a large urinary calculus. Specific gravity 1*72.
Its nucleus consists of uric acid, urate of ammonia, and
urate of lime. The brown crust and body of urate of
soda and urate of ammonia, uric acid, and phosphate of
lime. The superficial whitish crust of uric acid, urate of
lime, and urate of ammonia.
Analyzed by Messrs. Brett and Bird.
22 1246. Calculus. Specific gravity 1*64. The body composed of
urates of ammonia and lime. The nucleus of uric acid.
Removed by Mr. Key from Charles F., aged 4, May 24, 1829.
Analyzed by Messrs. Brett and Bird.
221252. Calculus, weighing one hundred and sixty-five grains. The
nucleus consists of urate of soda, uric acid, and phosphate
of lime. The body of urate of lime and phosphate of lime.
Removed by Mr. Fogerty, June, 1835, at Bombay, from a Hindoo
child, aged 3 years and 9 months.
221258. Calculus, consisting of uric acid, urate of lime, and urate of
soda, with traces of phosphate of lime.
Removed by Mr. Cooper from a boy, aged 6 years, Jan., 1836.
Analyzed by Dr. Bird.
22 1260. Section of urinary calculus; body, urate of ammonia; crust,
phosphates and uric acid.
Removed by Mr. Cooper. Analyzed by Dr. Bird.
84
22 1204. Section of a calculus, specific gravity 1 75, of an ovoid
figure, with obscure traces of large crystallization on its
surface. Its nucleus consists of urate of soda and urate
of ammonia, and the alternate lighter-coloured layers of
urate of ammonia, with traces of phosphate of lime.
Second layer, urate of soda and urate of ammonia ; and
external crust, uric acid, urate of ammonia, with traces
of phosphate of lime.
Removed by Mr. Key. Analyzed by Dr. Bird.
22 1260. Urinary calculus. Nucleus, urate of ammonia, with some
oxalate of lime. Body, uric acid. Crust, phosphates.
Specific gravity 1'486.
Removed by Mr. B. Cooper. Analyzed by Dr. Bird.
22 1270. A mixed mulberry calculus, removed by Mr. Key, consisting
of oxalate of lime, ammoniaco-magnesian phosphate, traces
of lithate of soda, and traces of lithate of ammonia.
Analyzed by Messrs. Bird and Brett.
221273. Calculus, having for a nucleus uric acid and urate of lime;
crust, phosphate of lime.
Removed by Mr. Hilton, Jan. 30, 1836. Analyzed by Dr. Bird.
22 1282. Calculus, consisting of uric acid, urate of lime, and phos¬
phate of lime.
Removed by Mr. Cooper, 1836. Analyzed by Dr. Bird.
221288. Calculi, twenty-four in number. Some are fragments, but
not of a large stone. Specific gravity 1-63. Consisting
of uric acid (main bulk), urates of ammonia and lime ;
the latter in small proportions.
Presented by Mr. Pearse of Bradford, Wilts, who stated that “ it
was supposed originally to have formed one large calculus, and to have
been split into fragments by the exhibition of Brandish’s alkali.” They
were voided per urethram, and the patient quite recovered. 1835.
Analyzed by Messrs. Brett and Bird.
22 1294. Section of a compound urinary calculus, removed by Mr.
Key in 1834. Specific gravity D630. The nucleus con¬
sists of uric acid, with urate of ammonia, and traces of
85
oxalate of lime. Crust, immediately beneath the external
brown one, urate of ammonia, uric acid, muriate of
ammonia, phosphate of lime, phosphate of magnesia and
ammonia, and carbonate of lime. External crust, oxalate
of lime and resinoid colouring matter.
Analyzed by Dr. Bird.
2213. One hundred and forty-two calculi of various sizes, and
mostly of a cubical figure. Removed by Sir A. Cooper
from Mr. R. A. of Worcester, Nov. 11, 1811. They were
supposed to consist of lithate of ammonia ; Dr. Bird found
them to consist mainly of uric acid, with traces of urate
of soda and ammonia, with little phosphate of lime. The
patient had afterwards another calculus, which on examina¬
tion proved to be of a different kind from these. This
was removed about five years afterwards, and he died
soon after.
221 35. Thirteen distinct groups of calculi voided at different times
from the same person. They are composed of urate of
lime, with traces of urate of ammonia and oxalate of lime ;
the most external whitish crust being made up of phos¬
phate of lime.
Analyzed by Messrs. Bird and Brett.
2213°. Calculus, weighing 3 ounces 5 drachms ; circumference, 7f
inches and inches. Removed from the meatus urin-
arius of a female by Mr. Watson of Stourport. It appears
externally to be composed of lithic acid.
22 137. Calculus, nearly as large as a hen’s egg, voided through the
meatus urinarius by a patient of Mr. Giraud of Feversham.
22 1 38, Nine calculi, of a rounded figure, and nearly as large as
pigeons’ eggs.
Removed after death from the bladder of John G. of Ipswich, aged
53, by Mr. Kingston, September 8, 1736.
2213°. Calculus, weighing 9 ounces.
Removed successfully by the lateral operation by Sir. A Cooper.
86
22 IS10. Calculus of somewhat flattened figure, weighing 16 ounces,
removed by Sir A. Cooper by the lateral operation. It
resisted all attempts to break it. The patient afterwards
sunk.
2218n. Three calculi of large size; they are of a round, smooth
figure, and appear to consist of lithic acid; they were
attended with very little inconvenience. Removed after
death from an elderly man.
Presented by Dr. Gideon MantelL
1. Note-book, p. 101.
22 1312. Cast of a large calculus of a flat, oval figure, removed from
the bladder of a female at Manchester by dilatation of
the urethra. The operation is said not to have been fol¬
lowed by incontinence of urine.
22 1313. Cast of a -very large calculus, taken after death from the
body of Sir Thomas A., aged 84.* The original stone is
now at Cambridge, and weighs 25 ounces. It had a
strongly marked oblique depression on the lower half,
apparently from the contraction of the bladder.
Presented by W. T. Iliff, Esq.
2. Note-book, p. 38.
22 1314. Another cast of the preceding.
Vide Mr. Bryant’s Catalogue.
221 316. Cast of a large calculus; it has nearly the same figure as
the preceding, but not quite so large. Removed after
death.
Presented by W. T. Iliff, Esq.
221310. Cast of a calculus removed after death in the hospital at
Augsburg.
1. Note-book, p. 208.
* Sir Thomas Adams was chosen Alderman of the city of London in the year 1609, and
Lord Mayor in 1645. lie was a staunch royalist, and was confined in the Tower by the
republicans. Died in 1667.
87
221317. Cast of a large calculus removed from the bladder after
death. It is of a pyriform figure, having the apex up¬
wards, and a slight constriction around the middle, more
especially posteriorly.
Presented by Mr. Hardy of Hull.
22 1318. Cast of a calculus which weighed 15 ounces.
Removed successfully from a man, aged 26, in the year 1885.
Presented by Mr. Page of Plymouth.
2. Note-book, p. 9.
22 1319. Section of a large calculus, composed of layers of triple
phosphate and lithic acid, with a coating of lithate of
ammonia. The figure is remarkable in consequence of a
small projection, occasioned by the imperfect adhesion of
a second calculus.
See kidney, 207380; and biliary calculi, 197375.
Presented by Mr. Camplin of Finsbury Square.
22 1320. Cast of a calculus weighing 13 ounces, of a spherical figure.
It broke, and was removed in fragments, some of which
were of large size, by Mr. Mayo of Winchester. The
patient recovered.
22 1321. Calculus, of the size of a large filbert, extracted from the
urethra of Sir W. B. by Sir A. Cooper. Also, five calculi^
of the size of small nuts, extracted in the same manner by
Sir A. Cooper from the bladder of the Rev. Mr. Buller.
1825.
22 1322. Sections of two small lithic acid calculi, found after death
in the bladder of Sir W. B.
22 1323. Part of a hat-pin, in the form of a distorted ring, removed
from the bladder of a female by Sir A. Cooper. It had
made its way by ulceration from the vagina.
22 13'4. Piece of French chalk attached to a shoe-horn, removed
from the bladder by Mr. Callaway, jun.
88
Charles L., aged 18, admitted May 12, 1856. He had inserted the
piece of chalk into the urethra with the string attached, and it having
entered too far, he was unable to withdraw it. He then tied the shoe¬
horn to the other end to prevent the string escaping, and thus he came
to the hospital. Mr. Callaway made an incision in the median line,
cut the string, and extracted the chalk. The string has been subse¬
quently tied.
Drawing, 3G9A
221 325. Piece of slate pencil, removed from the bladder by Mr,
Alfred Roberts of Sidney. It was stated that the patient
had swallowed the pencil, which story appeared to be
credited by the surgeons of Sidney hospital.
From J B., a sawyer, aged 47, admitted August 9, 1856. Six
months before, going into a companion’s house, he picked up a piece of
slate pencil, which he put into his mouth, and immediately afterwards,
being offered a glass of spirits, he inadvertently swallowed the pencil.
On the following day he said he experienced a pricking pain in the
lumbar region, which continued for five weeks like that of renal cal¬
culus. Subsequently, having symptoms of stone in the bladder, he Avas
sounded ; one being, as was supposed, felt, he was operated on in the
ordinary way of lithotomy. The stone broke, came away in pieces,
and imbedded in it was a piece of slate pencil. He soon recovered.
The pencil was two inches and a quarter long, pointed at one end,
and smooth on the surface. The calculus measured three and a half to
four inches long, and one and three-quarters to two inches broad. The
man subsequently persisted in his story, and his friends fully corrobo¬
rated his tale. Mr. Roberts in consequence was almost led to believe
it, and surmised whether the pencil had ulcerated through from the
intestine to the bladder. In all probability, however, the man invented
the tale to hide the suspicion of his having introduced the body into
the urethra.
22 1326. Numerous small fragments of bone exhibited as urinary
calculi for the purpose of exciting charity.
22 1350. Sixteen calculi removed from the bladder after death.
Each is larger than an ordinary-sized marble.
John R., aged 50, came into the hospital in a dying state, but it was
discovered by Mr. Cock that his bladder contained numerous calculi.
He had long been ill ; but, having fallen into the hands of irregular
practitioners, his disease had not been discovered. He died from the
secondary effects on the bladder and kidneys. He was a man of
immense- bulk, and very fat.
Record of Insp. 87. 1859.
89
M
221355. A large stone broken into fragments, and removed by Mr.
Cock.
Alfred F., aged 18, in the hospital in March, 1858. He had suffered
from symptoms of stone since infancy, but never to such an extent as
to prevent his working as a tanner. Eight years before he was in an
hospital, hut no calculus was discovered. He was very ill on admis¬
sion, and the stone was found to occupy nearly the whole bladder, so
that an operation in the median line was preferred in order to extract
it. He died not long afterwards of disease of the bladder and kidneys.
Record of Insp. 57. 1858.
22 1360. Urinary calculus.
Successfully removed from a Hindoo boy, aged 6, November, 1849,
by Mr. Lay, civil surgeon.
22 13T Small urinary calculus.
Successfully removed from a Hindoo, aged 25, January, 1850, by
Mr. Lay, civil surgeon.
221370. A uretliro-vesical calculus of very remarkable form, being
of tlie shape which has been styled “bar-shot,” or “ dumb¬
bell.” It is composed of two portions, joined together by
a narrow neck. It was thought that the larger part had
been lying for some time in a pouch of the prostate, while
the smaller portion remained in the bladder. The
additional small calculus was, no doubt, placed imme¬
diately in front of the larger. The composition, as given
by Dr. Odling, was — the nucleus uric acid ; the exterior
fusible, with traces of oxalate of lime ; the intermediate
portion chiefly consisted of oxalate of lime, though with
very small amount of uric acid, and mixed with earthy
phosphates.
The patient, Henry H., aged 20, had suffered from urinary symptoms
since infancy, and was operated on by Mr. Poland in July, 1854.
See Guy’s Hosp. Rep., Series III. vol. iii. p. 351.
221380. Urinary calculus, having for its nucleus oxalate of lime, the
remainder mixed with earthy phosphates, and composed
chiefly of uric acid and urate of ammonia, with traces of
oxalate of lime.
Removed by Mr. Cooper Forster. Analyzed by Dr. Odling.
221381. Urinary calculus consisting of urate of ammonia and oxalate
of lime.
Removed by Mr. Cooper Forster from F. M., aged 8, at the Children’s
Infirmary, August, 1851. Analyzed by Dr. Odling.
22 1382. Urinary calculus, composed of oxalate of lime, with small
quantities of earthy phosphates.
Removed by Mr. Cooper Forster. Analyzed by Dr. Odling.
22 1383. Urinary calculus, composed of lithic acid, removed by Mr.
Cooper Forster from the urethra.
22 1384. Two calculi ; the larger from a female, the smaller one from
the urethra.
Mr. Cooper Forster.
22 1385. Urinary calculus, having for its composition — nucleus,
oxalate of lime, with uric acid and urate of ammonia;
second layer, chiefly urate of ammonia, with uric acid.
Circumference the same, in smaller proportions, with
oxalate of lime and earthy phosphates.
Removed by Mr. Cooper Forster. Analyzed by Dr. Odling.
221386. Urinary calculus — composition : circumference urate of
ammonia, with uric acid and urate of soda; nucleus
contains traces of oxalate of lime in addition.
Removed by Mr. Cooper Forster. Analyzed by Dr. Odling.
22 1387. Urinary calculus, having for its interior uric acid and urate
of ammonia, with traces of earthy phosphates and oxalate
of lime ; the exterior, oxalate of lime.
Removed by Mr. Cooper Forster. Analyzed by Dr. Odling.
22 1388. Urinary calculus, having for its central portion uric acid
and urate of ammonia, with smaller proportions of oxalate
of lime. Circumference, oxalate of lime.
Removed by Mr. Cooper Forster. Analyzed by Dr. Odling.
91
(The following forty-three specimens were analyzed by Mr.
Bransby Cooper. Full particulars of their history, with drawings,
will be found in the note-book to which reference is made) : —
221 4\ Small oval calculus, removed by Mr. B. Cooper from David
D., aged 5 years, May 12, 1841. The nucleus is urate of
ammonia, surrounded by uric acid ; and exterior phos¬
phate of lime and phosphate of magnesia.
Case No. 1, Note-book.
22 146. Calculus, removed by Mr. Hilton from Thomas H. The
nucleus urate of ammonia, next layer oxalate of lime, and
exterior triple phosphate.
Case No. la, Note-book.
>
22 147. Calculus, removed by Mr. Cooper from William W., aged
21, September 15, 1841. Weight, 620 grains. Nucleus,
urate of ammonia, surrounded by oxalate of lime ; exte¬
rior, phosphate of lime, phosphate of magnesia, and the
fusible compound.
Case No. 2, Note-book.
22 1 48. Calculus, removed by Mr. Hilton from a child, Elizabeth S.,
per urethram. The nucleus consists of urate of ammonia,
the body of uric acid and urates, and exterior of triple
phosphates.
Case No. 2a, Note-book.
22 149. Calculus, removed by Mr. Cooper from Charles C., aged
years, October 22, 1841. Weight, 64 grains. Nucleus,
urate of ammonia, surrounded by oxalate of lime ; exte¬
rior, the fusible compound.
Case No. 4, Note-book.
22 1410. Calculus, removed by Mr. Cooper from Benjamin AY., aged
3J years, October 3, 1843. Weight, 42 grains. Nucleus,
urate of ammonia ; exterior, phosphate of lime and phos¬
phate of magnesia.
Case No. 5, Note-book.
92
22 1411. Calculus, removed by Mr. Cooper from A. W., aged 52,
June 1, 1841. Weight, 209 grains. Nucleus, urate of
ammonia ; next layers, oxalate of lime ; and exterior,
phosphate of lime and phosphate of magnesia.
Case No. 6, Note-book.
22 1412. Calculus, removed by Mr. Cooper from Charles H., aged 3
years, March 28, 1843. Weight, 98 grains. Nucleus
and body, urate of ammonia ; exterior, phosphate of lime
and phosphate of magnesia.
Case No. 7, Note-book.
22 1413. Calculus, removed by Mr. Cooper from an adult, January
2, 1844. Weight, 530 grains. Nucleus, urate of am¬
monia, surrounded by oxalate of lime ; exterior, fusible
compound.
Case No. 7a, Note-book.
22 1414. Calculus, removed by Mr. Cooper from William R., aged
4| years, June 25, 1844. Weight, 35 grains. Nucleus,
urate of ammonia and uric acid ; exterior, oxalate of lime.
Case No. 8, Note-book.
221415. Calculus, removed by Mr. Cooper from B., aged 30, August
9, 1844. Weight, 280 grains. Nucleus, urate of am¬
monia, surrounded by oxalate of lime ; exterior, phosphate
of lime.
Case No. 9, Note-book.
221416. Calculus, removed by Mr. Cooper from Richard M., aged
3J years, April 22, 1845. Weight, 85 grains. Nucleus
and body, uric acid, with traces of oxalate of lime.
Case No. 10, Note-book.
22 1417. Calculus, removed by Mr. Cooper from Geo. S., aged 2J
years, June 4, 1845. Weight, 23 grains. Nucleus, urate
of ammonia, surrounded by thin layers of oxalate of lime ;
exterior, phosphate of lime.
93
22 1418. Calculus, removed by Mr. Cooper from James J., aged 59,
August 5, 1845. Weight, GOO grains. Nucleus and body,
uric acid ; coated externally by a very thin layer of phos¬
phate of lime.
Case No. 12, Note-book.
221419. Calculus, removed by Mr. Cooper from Joseph G., aged 9j,
June 17, 1845. Weight, 460 grains. It consists of urate
of ammonia, with very thin layers of phosphate of lime.
Case No. 13, Note-book.
221420. Calculus, removed by Mr. Cooper from C., aged 8, December
20, 1845. Nucleus, urate of ammonia, surrounded by
oxalate of lime ; exterior, triple phosphate and phosphate
of lime. Weight, 83 grains.
Case No. 14, Note-book.
221421. Calculus, removed by Mr. Cooper from D., aged 5 years,
October 18, 1846. Weight, 45 grains. It consists of
urate of ammonia, with a little uric acid, and traces of
earthy phosphates.
Case No. 15, Note-book.
22 1422. Calculus, removed by Mr. Cooper from W. G., a boy,
November 9, 1847. The nucleus is composed of urate of
ammonia, and the exterior of uric acid. Weight, 225
grains.
Case No. 16, Note-book.
22 1423. Calculus, removed by Mr. Cooper from a boy aged 8£ years,
November 9, 1847. Weight, 293 grains. Composition,
uric acid.
Case No. 17, Note-book.
221424. Calculus, removed by Mr. Cooper from a boy aged 11, June
13, 1848. Weight, 100 grains. Nucleus, urate of am¬
monia ; second layer, oxalate of lime ; exterior, uric acid.
Case No. 18, Note-book.
94
221425. Two calculi, removed by Mr. Cooper from Charles C., aged
15, February 17, 1848. Weights, 131 grains and 107
grains respectively. The one which is cut consists of uric
acid, and is hollow in the centre.
Case No. 19, Note-book.
22 1426. Calculus, removed by Mr. Cooper from G-., aged 4 years,
March 28, 1848. Weight, 23 grains.. Nucleus, urate of
ammonia ; second layer, oxalate of lime ; exterior, uric
acid.
Case No. 20, Note-book.
22 1427. Two calculi, removed by Mr. Cooper from James D., aged
10 years, April 19, 1848. Weight, 215 grains and 72
grains respectively. Nucleus, urate of ammonia, sur¬
rounded by oxalate of lime ; exterior, triple phosphate
and phosphate of lime.
Case No. 21, Note-book.
221428. Calculus, removed by Mr, Cooper from M,, aged 11 years,
May 30, 1849. Weight, 400 grains. Nucleus, urate of
ammonia and thin layers of oxalate of lime ; exterior,
fusible compound.
Case No. 22, Note-book.
22 1429. Calculus, removed by Mr. Cooper from a boy aged 5 years,
December 16, 1849. Weight, 62 grains. Nucleus, urate
of ammonia ; exterior, oxalate of lime.
Case No. 23, Note-book.
22 1430. Calculus, removed from a child, 8J years old, by Mr. Phil-
brick of Colchester, July 2, 1849. Weight, 480 grains.
Nucleus, urate of ammonia ; second layer, phosphate of
lime ; third layer, oxalate of lime ; fourth layer, phosphate
of lime ; exterior, fusible compound.
Case No. 24, Note-book.
22 1431. Large calculus, removed by Mr. Cooper from a farmer
residing at Wellingborough, Notts, about the year 1832.
The stone weighed 5-J ounces. The nucleus is oxalate of
95
lime, surrounded by uric acid and a little phosphate of
lime.
Case No. 25, Note-book.
221433. Calculus, removed from a Malay girl, living at the Cape of
Good Hope, by dilatation of the urethra. Nucleus, urate
of ammonia ; exterior, oxalate of lime.
Case No. 26, Note-book.
22 1433. Calculus, removed after death from the body of a negro
boy, living at the Cape of Good Hope. Nucleus, urate
of ammonia, surrounded by oxalate of lime ; exterior, on
one side only, fusible compound.
Case No. 27, Note-book.
22 1434. Calculus, removed by Mr. Cooper from Thomas H. B., aged
58, June 1, 1861. Two stones were in the bladder,
weighing 108 and 58 grains respectively. The present
consists of urate of ammonia for nucleus, and phosphate
of lime and magnesia for body and exterior.
Case No. 28, Note-book.
22 1435. Section of a large uric acid calculus, removed by Mr. Cooper,
May 21, 1850, from John B., aged 57. The nucleus has
been lost. Weight, 557 grains.
Case No. 29, Note-book.
22 1436. A pin, coated with phosphates, removed by Mr. Cooper from
G. W. B., aged 10 years, July 31, 1850. The lad was
admitted with symptoms of stone, but a catheter detected
a hard substance in the membranous portion of the urethra,
where also it could be felt externally. lie could not
explain how the pin got there.
Case No. 31, Note-book.
22 1437. Calculus, composed chiefly of uric acid, but having a nucleus
of oxalate of lime.
Removed by Mr. Cooper, August 13, 1850, from Geo. Q., aged 68.
Case No. 32, Note-book.
9G
2214s8. Section of a calculus, removed by Mr. Cock from Samuel
S., aged 5 years. The nucleus is uric acid and urate of
ammonia, surrounded by oxalate of lime and fusible
phosphates.
Case No. 33, Note-book.
22 1439. Section of a large calculus, removed from Elias W., aged
29, who came from the Cape of Good Hope to be operated
on. The nucleus is uric acid ; external to this is oxalate
of lime ; again, oxalate of lime with uric acid, ammonio-
magnesian phosphate with urate of ammonia ; and quite
externally, ammonio-magnesian phosphate, with layers of
the same salt mixed with urate of ammonia.
Analyzed by Dr. Pavy.
Case No. 34, Note-book.
221440. Calculus, consisting of urate of ammonia for nucleus, and
triple phosphate, with traces of oxalate of lime, for exte¬
rior. Removed by Mr. Cooper from Thomas W., aged
21, February 26, 1851. Two stones were extracted,
weighing respectively 61 and 53 grains.
Case No. 35, Note-book.
22 1 444. Two uric acid calculi, removed from James P., aged 75,
by Mr. Cooper, March, 1851. One of them extracted
during life weighed 465 grains ; the other was found after
death sacculated in the bladder, and weighed 416 grains.
See drawing, having the stone in situ.
Case No. 36, Note-book.
22 1442. Calculus, composed of alternate layers of oxalate of lime
and crystallized triple phosphate. Removed by Mr.
Cooper from Wm. N., aged 8 years, September 26, 1851.
Weight, 142 grains.
Case No. 37, Note-book.
22 1443. Section of a calculus, composed mostly of uric acid and
urates, but having thin layers of oxalate of lime and traces
97
N
of earthy phosphates. Removed by Mr. Cooper from
Henry M., aged 11 years, November, 1831. Weight, 362
grains.
Case No. 38, Note-book.
22 1444. Section of a calculus, of which the nucleus is urate of
ammonia, the body uric acid and oxalate of lime, and the
exterior earthy phosphates. Removed by Mr. Cooper
from Edward D., aged 18, November 17, 1851. Weight,
472 grains.
Case No. 39, Note-book.
22 1445. Large calculus, removed by Mr. Cooper from William E.,
aged 68, May, 1852. Composition — nucleus and body
uric acid, with fine layers of urate of ammonia, urate of
lime, phosphate of lime, and oxalate of lime. Weight,
2 ounces drachms.
Case No. 40, Note-book.
22 1446. Calculus, removed by Mr. Cooper from Ellen K., aged 6,
September 15, 1852. Nucleus, urate of ammonia, coated
with urate of lime, phosphate of lime, and phosphate of
magnesia; exterior, fusible matter. Weight, 150 grains.
Case No. 41, Note-book.
221447. Two calculi, removed from John R., aged 54, by Mr.
Cooper, in 1851. They weighed respectively 91 and 90
grains, and consisted of— -nucleus and body uric acid, with
traces of urate of ammonia, and layers of oxalate of lime.
Case No. 42, Note-book.
22 15*. Urinary calculus. Internal yellow portion, uric acid and
urate of ammonia ; external white portion, mixed earthy
phosphates, with urate of ammonia. Weight, 101 grains.
Removed by Mr. Cock, and analyzed by Dr. Odling, April 4, 1851.
22 15b Urinary calculus. Centre, uric acid, with urates of am¬
monia ; exterior, triple phosphate.
Removed by Mr. Cock, August 29, 1848. Analyzed by Dr. Odling.
98
22 157. A mulberry calculus.
Removed by Mr. Hilton, February 24, 1852.
22158. Calculus, composed chiefly of oxalate of lime, but having a
nucleus of uric acid.
Removed by Mr. Cock, January 22, 1851. Analyzed by Dr. Odling.
22 159. Urinary calculi, composed externally of earthy phosphates,
and internally of oxalate of lime, with uric acid and urate
of ammonia.
Removed by Mr. Cock, August 24, 1852. Analyzed by Dr. Odling.
221 510. Calculus, having for its composition — externally, urate of
ammonia and earthy phosphates ; within this, oxalate of
lime in small quantities ; more internally, urate of am¬
monia, soda, and lime; and centrally, urate of ammonia
and uric acid.
Removed by Mr. Hilton. Analyzed by Mr. B. Cooper.
22 1511. Calculi, consisting internally of uric acid and urate of
ammonia, with some oxalate of lime ; externally, of earthy
phosphates, with some triple phosphate.
Removed by Mr. Poland, Sept. 14, 1852. Analyzed by Dr. Odling.
22 1513. Calculus, of which the great bulk is oxalate of lime, but
coated with earthy phosphates, and having for a nucleus
uric acid and urate of ammonia.
Removed by Mr. Hilton, October 19, 1852. Analyzed by Dr.
Odling.
221513. A mulberry calculus, having a small amount of uric acid in
its very centre.
Removed by Mr. Cock, Oct. 28, 1851. Analyzed by Dr. Odling,
221 514. Calculus, composed chiefly of uric acid, but mixed with
earthy phosphates and urate of ammonia.
Removed by Mr. Cock, November 1 1, 1851. Analyzed by Dr. Odling.
22 1515. A few small phospliatic calculi, out of thirty or forty.
Removed during life from fistulous urinary sinuses of Thomas W. .
by Mr. Cock, March 9, 1853.
221 516. A large calculus, composed chiefly of fusible compounds,
with some lithate of ammonia.
Removed by Mr. Hilton, April 23, 1852.
22 1517. Calculus, composed of uric acid, urate of ammonia, urate of
lime, phosphates of lime and ammonia, and phosphate of
magnesia, situated in the membranous part of the urethra.
Removed by Mr. Hilton, August 5, 1850. Analyzed by Dr. Odling.
221 518. Calculus having for a nucleus oxalate of lime, with earthy
phosphates ; exterior of uric acid and urate of ammonia,
with slight traces of earthy phosphates.
Removed by Mr. Hilton, August 1, 1852. Analyzed by Dr. Odling.
221519. Phosphatic calculi in fragments.
Removed by Mr. Cock, October 21, 1851. Analyzed by Dr. Odling.
221 520. Calculus having for its composition — externally, phosphate
of lime with ammonia, some fusible matter, and centrally,
uric acid and oxalate of lime.
Removed by Mr. Cock. Analyzed by Dr. Odling.
22 1521. Calculus, composed centrally of uric acid and urate of
ammonia ; outer layer, oxalate of lime ; and exterior,
crystals of lime.
Removed by Mr. Hilton. Analyzed by Dr. Odling.
221522. Calculus, having for a nucleus oxalate of lime; external to
this, uric acid, with urate of ammonia and soda ; circum¬
ference, chiefly of mixed earthy phosphates.
Removed by Mr. Cock, Nov. 4, 1851. Analyzed by Dr. Odling.
22 1523. Urinary calculi, removed after death from J. lb, a patient
of Mr. Cock, May 23, 1852. The smaller calculus was
removed from the urethra, where it had been retained
for some months. Externally they are covered with
earthy phosphates.
22 1524. Calculus, having for its nucleus uric acid, surrounded by a
layer coloured by purpurine. The intermediate irregular
portions, oxalate of lime ; and the exterior, a mixture of
oxalate of lime with uric acid and urate of ammonia.
Removed by Mr. Hilton, Feb. 26, 1850. Analyzed by Dr. Odling.
22 1525. Urinary calculus, composed of mixed earthy phosphates,
with uric acid and urate of ammonia ; a nucleus of uric
acid.
Removed by Mr. Hilton, April 27, 1852. Analyzed by Dr. Odling.
22 1526. Calculus, having for its central parts uric acid with urate of
ammonia ; and exterior, mixed earthy phosphates.
Removed by Mr. Cock. Analyzed by Dr. Odling.
22 1527. Calculus, having for a nucleus oxalate of lime ; without
this, uric acid ; and externally, earthy phosphates.
Removed by Mr. Cock, February 1, 1853. Analyzed by Dr. Odling.
22 1528. Calculus, having for a nucleus and body uric acid, and
surrounded by a crystalline layer of the ammonio-mag-
nesian phosphate.
Removed by Mr. Poland. Analyzed by Dr. Pavy.
221539. Calculus, composed of uric acid and urate of ammonia.
Removed by Mr. Hilton, August 27, 1850. Analyzed by Dr.
Odling.
22 1530. Calculus, composed of uric acid and urate of ammonia, with
mixed phosphates externally.
Removed by Mr. Cock, August 17, 1852. Analyzed by Dr. Odling.
22 15S1. Calculus, composed chiefly of uric acid, but also having
101
urate of ammonia, urate of soda, urate of lime, and earthy
phosphates in small quantities.
Removed by Mr. Key. Analyzed by Dr. Odiing.
22 1532. A large calculus, removed after death from a patient of Mr.
Key. 1839.
22 1533. Urinary calculus, composed of uric acid. Specific gravity
U675.
Removed by Mr. B. Cooper. Analyzed by Dr. Bird.
22 1534. A fusible calculus, with a lithic acid nucleus, removed by
Mr, Key.
22 1535. Calculus, composed chiefly of uric acid, but containing also
lithate of ammonia, muriate of ammonia, phosphate of
lime, and triple phosphate, with some animal and colour¬
ing matter.
Analyzed by Mr. Brett.
221533. An oxalate of lime calculus.
Removed by Mr. Key, September 28, 1852.
22 1537. A calculus, composed internally of lithic acid, and externally
of oxalate.
2216b An irregular-shaped calculus, having apparently two or
three nuclei, and composed of oxalate of lime and the
earthy phosphates.
22 166. Small fusible calculus, with a nucleus of lithic acid.
Removed by Mr. Key from a patient aged 4, May 5, 1828.
22 167. A calculus composed of lithic acid, with a nucleus of oxalate
of lime. Weight, 518 grains.
22 168. A cast of a large lithic acid calculus.
221 6b Section of a large oval lithic acid calculus.
102
22 1610 A section of a large oval lithic acid calculus.
221 6n. section of a large lithic acid calculus. Weight, 1531
grains. This is apparently the counterpart of No. 2114.
The original paper in which the calculus was wrapped
contained the following : — u This wonderful stone, by the
blessing of God, was happily extracted from Mr. Walker
by the judicious Mr. Richard Lambert of Newcastle, on
the 17th June, 1760, at the age of 56, who lived seven
years after, and worked at his trade.”
22 1612. Section of a large lithic acid calculus.
221 613. Section of a mulberry calculus, apparently the counterpart
4 of 2141.
22 1614. Section of a lithic acid calculus. Weight, 178 grains.
22 1615. Section of a calculus, with a lithic acid nucleus; body of
oxalate of lime, and exterior lithic acid. Weight, 587
grains. Specific gravity 1 *5 1 7.
Sir A. Cooper.
22 1616. Section of a calculus, removed after death, August, 1841.
Weight, 600 grains.
22 1617. Calculus, composed mostly of lithic acid, of remarkably
dark irregular appearance. External coat, carbonate of
lime.
221 618. Section of a calculus composed of oxalate of lime, in com¬
bination with lithic acid. Weight, 1 ounce.
Mr. B. Cooper.
22.1 619. Section of a round lithic acid calculus. Weight, 5 drachms
9 grains. This appears to be the counterpart of 2113.
221620. Section of an irregular-shaped calculus, composed of lithic
acid. Weight, 428 grains.
Removed by Mr. Cooper from Matthew W., aged 50.
22 1621. Calculus, composed of lithic acid, and crusted externally
with phosphates and fusible matter Apparently the
counterpart of 2198.
Sir A. Cooper.
221 622. Section of a lithic acid calculus. Weight, 308 grains.
Removed by Mr. Key from a patient aged 9, May 5, 1825.
22 1623. Section of a small calculus, composed apparently of lithic
acid, with a coating of fusible matter.
22 1634. Fusible calculus, with coating of triple phosphate. Weight,
134 grains.
221 62°. Fusible calculus. Weight, 94 grains.
Removed by Mr. Cooper from William P., aged 3J years.
221 626. Section of an irregular-shaped lithic acid calculus. Weight,
258 grains.
Removed by Mr. Cooper from F. V., aged 14.
22 1627. Section of a lithic acid calculus, removed by Mr. Key.
Weight, 198 grains.
Section of a calculus, apparently fusible.
if
Section of a calculus composed of lithic acid, with a coating
of triple phosphate. Weight, 118 grains.
*> .
Removed by Mr. Key from a patient aged 9, May 5, 1825.
22 1630. Section of a calculus, composed chiefly of fusible compound,
and having a nucleus of lithic acid. Weight, 90 grains.
September 10, 1827.
22 1 631. Section of a small round calculus, composed externally of
fusible matter, and within of lithic acid. Weight, 36
grains.
Removed by Mr. Tyrol!, June 5, 1825.
101
2216®.
221629.
221 632. Section of a small lithic acid calculus.
221 6s3. Calculus, composed chiefly of oxalate of lime, but having a
nucleus of lithic acid, and coated with the same. Weight,
390 grains. This is evidently a counterpart of 2169.
Removed by Mr. B. Cooper from S. Short, aged 19.
221 6s4. Section of a small calculus, composed of lithate of ammonia.
22 1635. Small fusible calculus. Weight, 40 grains.
Mr. Key.
2216s6. Section of a lithic acid calculus. Weight, 78 grains.
September 10, 1827.
221 637. Section of a lithic acid calculus. Weight, 96 grains.
221 6s8. A mixed calculus, consisting of oxalate of lime, carbonate
of lime, and lithate of ammonia. Weight, 22 grains.
A boy, aged 4. Mr. Cooper.
22 1639. Portion of a calculus apparently fusible.
221 640. A small lithic acid calculus. Weight, 6 grains.
22 1641. Section of a mulberry calculus. Patient between 40 and
50 years of age. Weight, 290 grains.
%
Removed by Sir B. C. B., 1842.
22 1642. Section of a lithic acid calculus. Weight, 207 grains.
22 1643. Section of a calculus, removed by Mr. Key in 1841.
22 1650. Section of a large oxalate of lime calculus, said to have been
removed by Mr. Callaway, sen.
221 651. Section of an oxalate of lime calculus, surrounded by
phosphates.
Removed by Mr. Callaway, jun.
22 1 6fi2. Counterpart of the above.
2216s3. Section of a large lithic acid calculus.
Removed by Mr. Callaway.
2216s4. Section of a large lithic acid calculus, surrounded by
phosphates.
Removed by Mr. Callaway, jun., October, 1856.
2216s5. Section of a lithic acid calculus.
Removed by Mr. Callaway, jun., June, 1857.
221 656. Section of a calculus, removed by Mr. Callaway, jun.
Weight, 194 grains. Composed apparently of alternate
layers of lithic acid and phosphates.
2216s7. Section of a lithic acid calculus.
Removed by Mr. Callaway, jun.
22 1653. Section of a calculus, having a lithic acid nucleus, with
layers of same, alternating with phosphates.
Removed by Mr. Callaway.
2216s9. A small urethral calculus.
From a patient, aged 3| years, of Mr. Callaway, jun.
221 660. Small urethral calculus.
From a patient of Mr. Callaway, jun.
221 661. Small urethral calculus.
From a patient of Mr. Callaway, jun.
2217s. Section of calculus. Weight, 280 grains.
Removed by Mr. Cock from Walter C., aged 7, November 14, 1854.
2217s. Section of an oval calculus. Weight, 360 grains.
Removed by Mr. Cock from Geo. T., aged 25, September 19, 1854.
22 177. Section of calculus, composed of numerous layers.
Removed by Mr. Cock from ffm. N., aged 12, January 18, 1857.
22 178. Calculus, removed from tlie urethral end of the prostate by
Mr. Cock, through an incision in the median line. Weight,
13 grains.
James B., aged 18, November 10, 1856.
22179. Two calculi. Weight, 30 grains.
Removed by Mr. Cock from Henry C., aged 8, August 19, 1856.
22171o. Calculus.
Removed by Mr. Cock from Osborn M., aged 6, October 14, 1854.
22 1711. Section of a calculus, composed of various layers. Weight,
310 grains.
Removed by Mr. Cock from Henry C., aged 18, Sept. 12, 1854.
22 1713. Small calculus.
Removed by Mr. Cock from Wm. V., aged 2| years, Aug. 21, 1855.
22 1713. Calculus. Weight, 58 grains.
Removed by Mr. Cock from John C., aged 16, January 30, 1855.
221714. Section of an irregular-shaped calculus.
Removed by Mr. Cock from Wm. W., aged 9 years, Sept. 24, 1853
22 1715. Five calculi.
Removed by Mr. Cock.
22 1716. A long oval calculus, removed by Mr. Cock from A. B.,
aged 10, January 10, 1857. The calculus was impacted
in the prostate and bladder, and was removed by the
middle section. Weight, 210 grains. The section shows
apparently uric acid and phosphates in alternate layers,
and surrounded by the fusible compound.
221 717. Section of a large oval calculus. Weight, 500 grains. It
looks as if almost wholly composed of phosphate of lime.
Removed by Mr. Cock from Isaac B., aged 67, June 6, 1854.
22 1718. A small calculus, apparently lithic acid. Weight, 111
grains.
Removed by Mr. Cock from Geo. C., aged 4^ years, Jan. 29, 1856.
221719. A small calculus, apparently lithic acid. Weight, 2-g- grains.
Removed by Mr. Cock from Walter C., aged 2, February 12, 1856.
221720 Portions of a phosphatic stone.
Removed by Mr. Cock, January 18, 1854.
221 721. Calculus deposit on a piece of shoe lace introduced into the
bladder.
Removed by Mr. Cock from George H.
22 1722. Two small round urethral calculi.
From a patient of Mr. Cock.
221723. A large oval calculus. Weight, 1610 grains. It is a lithic
acid calculus, surrounded by phosphates, apparently of
the fusible kind.
Removed by Mr. Cock from Harry B., aged 60.
Record of Insp. 119. 1856.
22 1724. Calculus. It appears lithic acid, surrounded by phosphates.
Removed by Mr. Cock from Henry R., aged 8, March 9, 1852.
22 1725. A large calculus, composed apparently almost entirely of
earthy phosphates.
Joseph J., aged 77, under Mr. Cock, June 14, 1853.
22 1726. Section of a calculus, composed of numerous layers, ap¬
parently of lithic acid and phosphates. Weight, 206
grains.
Removed by Mr. Cock from John S., aged 2t| years, Nov. 11, 1851.
221 127. Section of a mulberry calculus.
Removed by Mr. Cock from John D., aged 144 years, Oct. 28, 1851.
108
221728.
22 1729.
22 1730.
221 731.
2217
32
2217
33
2217
34
22 1785.
2217
36
221 737.
22 1738.
Calculus, apparently lithic acid. Weight, 29 grains.
Removed by Mr. Cock from Charles D., aged 2J years, Jan. 13, 1857.
Small mulberry calculus. Weight, 150 grains.
Removed by Mr. Cock from Charles P., aged 15, July 1, 1856.
Calculus. It is of a pear or bottle shape.
Removed by Mr. Cock from a girl, aged 6, September 28, 1854.
A large calculus, of white colour, composed probably of the
mixed phosphates. It weighed 4 ounces 40 grains.
Removed by Mr. Cock from Wm. B., aged 23.
Section of a small calculus, composed apparently of numerous
layers of lithic acid.
Removed by Mr. Cock from Henry P., aged 4, August 2, 1853.
Section of a small lithic acid calculus.
Removed by Mr. Cock from Win. D., aged 5, July 4, 1853.
Section of a calculus. Apparently alternate layers of lithic
acid and phosphates, with nucleus of the former.
Removed by Mr. Cock.
Section of calculus. Weight, 360 grains.
Removed by Mr. Cock from Mrs. S., by dilatation and incision,
September 1, 1854.
Section of calculus.
Removed by Mr. Cock from Robert PI., aged 19, July 15, 1853.
Section of a mulberry calculus. Weight, 950 grains.
Removed by Mr. Cock from Mr. Y., April 4, 1855.
Portions of gutta percha bougie extracted from the bladder
of Henry S., by lateral incision, October 16, 1855. The
piece removed by Mr. Cock measured 5 inches in length.
109
221 739. Section of a large lithic acid calculus. Weight 1007 grains.
Removed by Mr. Cock from Giles N., February 5, 1857.
Record of Insp. 23. 1857.
221 740. Calculus, covered with phosphates, removed after death
from a cavity communicating with the bladder.
James B., aged 44.
Record of Insp. 69. 1858.
22 1741. Calculus. Weight, 25 grains.
Removed by Mr. Cock from Walter F, aged 4, June 15, 1857.
2217
42
A Calculus. Weight, 314 grains.
Removed after death from Charles F., aged 42, under Mr. Cock,
June, 1857.
Record of Insp. 112. 1858.
22 1744. A large calculus, apparently composed of fusible matter,
removed from the kidney after death.
Mr. C. was under Mr. Cock’s care in August, 1853, for symptoms
connected with the kidney and bladder.
221745. Calculus. Weight, 50 grains.
Removed by Mr. Cock from Win. A., aged 3^ years, Sept. 5, 1855.
22 1746. Two calculi.
Removed by Mr. Cock from Wm. W., aged 6£ years, April 18, 1854.
22 1747. Calculus. Weight, 90 grains.
Removed from Joseph P., aged 7, by Mr. Cock, June 29, 1858.
22 1748. Urinary concretion on a stalk of parsley.
Removed by Mr. Cock from the bladder, November 3, 1852.
22 1749. Section of an oval calculus. Weight, 96 grains.
Removed by Mr. Cock from Edward C., aged 3, Nov. 23, 1858.
22 1750. Tolerably large calculus. Weight, 227 grains.
Removed by Mr. Cock from John F., aged 4£ years, August 17, 1858.
110
2217“. Three small calculi. Weight, 34 grains.
Removed by Mr. Cock from Chas. M„ aged fij years, May 11, 1858.
2217®. Mulberry calculus. Weight, 166 grains.
Removed by Mr. Cock from Samuel K., aged 17, Nov. 16, 1858.
2217®. A large irregular calculus, apparently from the kidney.
George S., under Mr. Cock.
221 /«. Section of a calculus. Weight, 105 grains. It has a
nucleus of lithic acid, set in a body haying a greyish tint
like cystic oxide.
Removed from W. W., aged 7, June 9, 1854.
2217®. A small lithic acid calculus. Weight, 18 grains.
Removed by Mr. Cock from John M., aged 4, October 15, 1856.
2217 . A small oval calculus.
Removed by Mr. Cock from John D., aged 5, April 25, 1854.
221 i . Section of a small calculus.
Removed by Mr. Cock from Francis M„ aged 3 years and 3 months.
22 1760. Calculus.
Removed by Mr. Cock from Fred. M„ aged 44 years, May 23, 1854.
22 1761. Section of a calculus.
Removed by Mr. Cock.
2217 . A large round calculus.
Removed by Mr. Cock from Wm. G., aged 8, September 4, 1869.
221 76S. Calculus.
Removed by Mr. Cock from Wm. M., aged 2, July 28, 1860.
2217 b Small calculus, cut from the urethra in perineum, July, I860,
111
221 T65. A large calculus, of very remarkable figure, and corre¬
sponding to tlie shape of the neck of bladder and urethra.
Weight, 690 grains.
Removed by Mr. Cock from Walter K., aged 8, October, 1859.
22 1766. A large lithic acid calculus. Weight, 560 grains.
Removed by Mr. Cock from Harry P., aged 6, October, 1859.
22 1 85. Calculus.
Removed by Mr. Hilton from H. R., aged 9, July 7, 1859.
22 1 86. Calculus and fragments.
Removed by Mr. Hilton.
22 1 87. Section of a calculus, in remarkably well- arranged layers.
Removed by Mr. Hilton, May 8, 1855.
22 188. Calculus. It appears like a nucleus of lithic acid set in a
mass of phosphates.
Removed by Mr. Hilton from V. E. B., aged 9, July 12, 1853.
22 1 89. Calculus.
Removed by Mr. Hilton, September 17, 1855.
22 1810. Section of a small calculus. It appears like a mulberry
calculus, surrounded by lithic acid, and with a lithic acid
nucleus.
Removed by Mr. Hilton from John E., aged 9, June 21, 1853.
22 1811. Section of a tolerably large calculus. It appears very much
like a fusible pliosphatic calculus.
Removed after death from J. L.
Insp. 74. 1857.
22 1812. Section of a calculus.
Removed by Mr. Hilton from Geo. C, aged 8.
112
22 1813. Section of a calculus. The centre consists of uric acid, with
urate of ammonia; outer layers oxalate of lime, with
crystals of same.
Removed by Mr. Hilton from Daniel W., aged 9, Dec. 11, 1852.
22 1814. Two calculi, one small.
Removed by Mr. Hilton from a child, aged 2, November 9, 1859.
22 1815. Calculus.
Removed by Mr. Hilton from Wm. D., aged 3J years, June 1, 1858.
221816. Calculus, removed from the urethra of a man, aged 48, July
24, 1855.
22 1817. Section of a large calculus, principally lithic acid.
Removed by Mr. Hilton.
22 1818. Calculus.
Removed from Thomas D., aged 4, by Mr. Hilton, Jan. 17, 1857.
22 1819. Calculus.
Removed by Mr. Hilton from James R., aged 6.
22 1820. Calculus.
Removed by Mr. Hilton from George O., aged 5^ years, Sept., 1858.
22 1821. Calculus. It is apparently lithic acid, surrounded by
oxalate of lime. Weight, 144 grains.
Removed by Mr. Hilton from a child, aged 6.
22 195. Section of a calculus, composed of uric acid and oxalate of
lime.
Removed by Mr. Birkett from John B., aged 54, of Gillingham,
Kent, December 26, 1854.
22 196. Half of a large calculus, removed after death from William
W., aged 20, a patient of Mr. Birkett’s. He had been
known to suffer from the disease when a child, and thus
it had probably existed more than fifteen years. Com¬
posed principally of layers of phosphates,
p 113
22 197. Calculus.
Removed by Mr. Birkett from E. H., aged 5§ years, March 7, 1854.
22 198. Portions of calculus. Weight, 249 grains. It looks like an
oxalate of lime calculus, surrounded by phosphates, with
uric acid nucleus.
Removed by Mr. Birkett.
22 199. Small calculus.
Removed by Mr. Birkett from H. C., aged 3, May 9, 1854.
221910. Calculus.
Removed by Mr. Birkett from M., aged 9, May, 1855.
22 1911, Section of a calculus.
Removed by Mr. Birkett from John D., aged 4J years, Feb. 14, 1854.
22 1912. A steel pen-holder.
Removed from the urethra of a man by Mr Birkett.
2220'5. Section of a calculus. Weight, 335 grains.
Removed by Mr. Poland, January 10, 1860.
22206. Section of a calculus.
Removed by Mr. Poland from a boy, aged 6, March, 13, 1855.
22207. Section of a stone.
Removed by Mr. Poland from a boy, aged 5, March 13, 1855.
222 08. A small calculus, removed from the scrotum, into which it
had ulcerated from the urethra.
From Frank P., aged 5, April 15, 1853.
22209. Section of a calculus. The nucleus is uric acid, around this
is a layer of oxalate, and the exterior part triple phos¬
phate.
Removed by Mr. Poland, August 12, 1851.
222010. Section of a calculus.
Removed by Mr. Poland, August 1, 1853.
114
222011. Section of a small calculus.
Removed by Mr. Poland, 1851.
22215. Calculus.
Removed by Mr. C. Forster from W. W., aged 6.
222 16. Small calculus.
Removed by Mr. C. Forster from G. E., aged 3.
22217. Calculus. It consists of uric acid and urate of ammonia.
Removed by Mr. Forster from T. R., aged 2J years, Aug. 10, 1858.
2221s. Calculus. It appears externally to be fusible.
Removed by Mr. Forster from J. C., aged 27 months.
222 19. Calculus. It consists of oxalate of lime, witli uric acid
nucleus.
Removed by Mr. Forster from C. W., aged 7, July 27, 1858.
222110. Calculus in section. It consists of layers of oxalate of lime.
Removed by Mr. Forster from G. B., aged 12,
222 111. Section of a tolerably large calculus. The nucleus is
oxalate of lime as well as the surface, but the great bulk
of the calculus consists of lithic acid.
Removed by Mr. Forster from a lad, aged 16, May 24, 1859.
222 113. Section of a calculus. Weight, 234 grains. Composed
almost wholly of lithic acid.
Removed by Mr. Forster from G. A., aged 4, August 10, 1858.
222 113. Calculus.
Removed by Mr. Forster from William G., aged 8, at the Children’s
Infirmary, March, 1858.
222 lu. Calculus. Weight, 96 grains.
Removed by Mr. Forster from J. F., aged 6, at the Epsom Union
December 29, 1859.
115
222115. Calculus.
Removed by Mr. Forster from a boy, August 2, 1859,
222 lls. Two calculi. Weight, 2 drachms.
Removed by Mr. Forster from T. Young, aged 10, at the Infirmary
for Children, November 14, 1857.
222 25. Calculus.
Removed by Mr. Bryant from Alfred 0, aged 7, Nov. 23, 1858.
2222s. Calculus.
Removed by Mr. Bryant, September 20, 1859.
22227. Section of a large calculus. Weight, 14 drachms.
Removed by Mr. Bryant from John H., aged 10, February 8, 1859.
2222s. Section of a mulberry calculus.
Removed by Mr. Bryant from a young man, November, 1859.
22229. Section of a calculus.
Removed by Mr. Bryant from Fred. M., aged 15, July 27, 1858.
222210. Section of a calculus.
Removed by Mr. Bryant.
222211. Calculus.
Removed by Mr. Bryant from Wm. Arnold, aged 3, Sept. 22, 1857,
DISEASES OF THE MALE GENITAL ORGANS.
TESTIS.
2339. Portion of abdominal parietes, showing the nndescended
testicles ; there are also slight hernial pouches at the
internal rings.
233912. Dry preparation of the pelvis, showing the testes unde¬
scended from a man aged 25.
From Mr. Bryant’s collection.
233925. Parietes of the pelvic region, with the testes undescended.
The abdominal rings are large, and small pouches pro¬
trude from each of them. The testes are small, and
filaments proceed from each close to the attachment of
the epididymis. One of the filaments has a small cyst at
its extremity.
233950. Portion of abdominal walls, showing the left testis unde¬
scended. It is situated at the internal ring, and at the
external ring is seen a portion of the peritoneum protrud¬
ing through it, and which precedes the descent of the
testes. Taken from a subject in the dissecting-room, and
afterwards sent to Sir A. Cooper, who injected it.
233975. A somewhat wasted testicle, from a young man who supposed
himself to become impotent a few months before his death.
117
The testes were thought to be atrophied, but on injection
no appearance of disease was found in them.
Case of H. B., aged 24.
6. Green Insp. Book, p. 95.
2340. Testicle very much enlarged. The section shows a uniform
surface, as of a tumour composed of an inflammatory
product, or of a fibro-plastic kind. The tunic is also
thickened and adherent. When recent, it was described
as due to chronic enlargement, and pulpy. A microscopic
examination shows the presence of a large amount of
fibrous tissue, but with a considerable quantity of cell
growth likewise, and thus its absolute innocency cannot
be decidedly determined.
Case of G. J., aged 40, under Sir A. Cooper in 1807. He had received
a blow five years before, and since then it had been gradually enlarging.
Old Museum Book, p. 40.
2341. Testis affected with abscess, accompanied by ulceration
through the scrotum.
2342. Testis affected with scrofulous inflammation, accompanied by
external fungating ulceration.
2343. A very old preparation, showing an injected testicle, contain¬
ing a quantity of yellow matter in its interior, and which
is styled scrofulous.
2344. Testicle affected with chronic inflammation, and protruding
as a large ulcerated surface, with exuberant granulations,
through the ulcerated scrotum.
234410. Inflammatory fungating growth from the testis.
J. B., aged 57, a patient of Mr. Cock in March, 1855. He was a
watchman at Woolwich, and three months before he observed his right
testicle becoming enlarged. It was poulticed and lanced, but no matter
was evacuated ; it then protruded, and fungated. It was strapped and
otherwise treated, but with no good effect, and therefore the protrudiug
part was excised, after which the wound soon healed.
118
2845. A testis very much enlarged, owing to the deposition of a
quantity of yellow material in its interior, and which was
styled scrofulous.
2346. Section counterpart to the preceding.
2349. Section of a testicle, containing a large mass of white deposit
called scrofulous tubercle. It is accompanied also by
hydrocele. Injected.
Removed by Mr. Key.
234945. A testis containing some hard yellow masses, formerly called
scrofulous. They cannot, however, be styled more than
unorganizable inflammatory deposits, and liable to occur
under various circumstances — for example, from syphilis.
The latter was probably the cause in the present instance,
since it is stated that the liver contained very similar
masses of deposit.
New vol. i. p. 247.
234950. Testis containing a very large round yellow mass of unor¬
ganizable material styled scrofulous.
Extirpated by Mr. Key in 1845.
2350. Portion of testis, much enlarged by a growth which appears
to have destroyed the original tissue, and formerly styled
cancer. From the preparation being old, and having
been long in spirit, its character cannot now be very
satisfactorily determined ; but the smooth surface of the
section looks like an inflammatory or fibro-plastic material.
It was the ulcerated surface protruding through the
scrotum which no doubt suggested its malignity.
235010. Tuberculous disease of the left testis ; injected. The
section shows clearly the strumous tubercles scattered in
its substance.
Thomas K., aged 22, a patient of Mr. Hilton in April, 1856. He
was a milkman at Norwood, and had a curved spine. Two years before,
he received a kick on the testis, followed by inflammation and suppu-
119
ration, which continued ever since. The testis was twice the natural
size, with two discharging sinuses. The whole organ was excised, and
he soon recovered.
235 125. Testicles laid open, exhibiting earthy matter.
From Joseph J., aged 26, who died of disease of the heart.
See prep. 142932.
10. Green Insp. Booh, p. 74.
2351s7. Testis containing some earthy matter, probably the remains
of a tuberculous deposit.
23 5 150. Testis containing numerous round small hard bodies, some
of them earthy.
235 15°. Testes which have undergone fibroid degeneration, and
supposed to be due to syphilis. The gland structure is
quite destroyed, and replaced by fibrous tissue, diffused
and in nodules.
A. H., aged 39, died under Mr. Hilton’s care in December, 1856,
having long been the subject of syphilitic disease of the cranium. See
prep. 107575. The liver contained syphilitic fibroid deposits. Prep.
191310.
Insp. 233. 1856.
235 157. Testes undergoing fibroid degeneration, and probably the
effects of syphilitic inflammation. Both organs are small,
and streaked with fibrous tissue, so that not much of the
original gland is left.
William C., aged 25, died under Mr. Cock’s care from syphilitic
disease of the larynx.
*
Insp. 81. 1859.
235 1A Testes almost destroyed by fibroid degeneration. One indeed
is atrophied, and its gland tissue quite gone ; the other is
of ordinary size, and has in it some round yellow masses
of inorganizable deposit. Probably the effects of syphilis.
Thos. J., aged 34, a sailor, died under Dr. Rees’ care from dysentery,
lie had had syphilis, was very cachectic, and covered with rupia.
Record of Insp. 166. I860.
120
235 160. Testis of a child, containing a small tubercle at its upper
part.
235165. Testicle, showing numerous tubercles scattered through its
substance. One portion has softened into an abscess.
George 1ST., aged 38, who died of phthisis under Dr. Barlow’s care.
(This form of disease is found very frequently in those dead of phthisis,
though unsuspected.)
Insp. 210. 1857.
235 170. A very large testis, containing masses of firm yellow deposit,
which were thought to be scrofulous. The tissue between
is fibrous, and is no doubt the result of chronic inflam¬
mation, so that the yellow matter cannot be positively
styled otherwise than of the same kind, having undergone
decay. It can be only doubtfully called scrofulous.
Thomas W., aged 31, a patient of Mr. Birkett’s in November, 1857.
The right testis had been slowly enlarging for a period of four years.
He recovered after its removal.
Drawing, 41510,11.
235 173. Testis of a child almost entirely occupied by scrofulous
deposit. Some of this has softened down. There is a
little healthy structure left on the surface. The epididy¬
mis contains some tuberculous matter.
H. M., aged 2^ years, had had the disease increasing for sis months,
until it had reached a very great size, when it suppurated, and fistu¬
lous openings formed. It was removed by Mr. Bryant in Oct., 1858.
The boy subsequently died of general tuberculosis.
See prep, of spinal cord, 156255.
Insp. 224. 1858.
235175. This is an old specimen, described as fungoid. The section
however, shows the testis quite perfect, but the tunica
vaginalis is immensely thickened, and within it is some
fibrinous material, looking like the fibrin of the blood.
It is probably, therefore, a hematocele of a very chronic
kind.
Q 121
235 176. Testis affected with scirrhous cancer. The firm fibrous
structure of the disease is well seen in the section.
235180. Testis affected with scirrhous cancer, or carcinoma fibrosum.
The structure is not uniform ; in some parts it is very
firm, and composed of a dense fibrous tissue, with cells in
its meshes. In other parts the structure is soft, and
composed mainly of a cell growth, approaching to ordinary
medullary cancer. It contains also a few yellow masses
of degenerated material.
Richard S., aged 40, from Merton. Three years before, he experi¬
enced pain in the left testis, which gradually enlarged. On admission
it was very hard and nodulated. Removed by Mr. Forster, June, 1858.
2352. Section of a testis removed by Sir A. Cooper, and formerly
called hydatid. It is, however, a fibro-cystic growth,
containing cysts of about the size of a nut, and numerous
smaller ones. The intervening tissue is dense and fibrous.
The tunica vaginalis is adherent, and much thickened.
Sir A. Cooper had himself discarded the notion of this
disease being due to hydatids, having surmised that it
originated in dilatation of the tubes, and he had therefore
substituted the term tubular disease.
235210. Cystic disease of the testis. The large mass occupying the
centre of the tumor constitutes the new growth, and when
recent, the section showed numerous small cysts. The
intervening tissue is fibrous. The new growth occupies
the site of the mediastinum, the testis being spread over
it, as seen in the distinct layer at the upper part. External
to this is the tunica albuginea, and outside of all the tunica
vaginalis. The tumor, when first removed, appeared like
a simply enlarged testis, the coats being perfect over it,
as well as the spread out glandular structure, the growth
being altogether in the centre.
George E., aged 83, from Croydon, under Mr. Birkett in 1854.
Three months before he accidentally noticed his testicle swollen. It
had been tapped, and some ounces of serum removed. Recovered.
122
235220. Section of a large testis affected with sero-cystic disease.
The surface is seen to be very irregular, and containing
numerous small cysts ; some of these are empty, and others
contain small pedunculated growths. The structure be¬
tween is tolerably firm. The section is thus seen to
resemble an adenocele of the female breast. The micro¬
scope showed many of the softer parts composed of cell
growths, so that some doubt wras entertained of its
innocency.
Joseph W., aged 44, a healthy, sober man, a harness-maker by trade.
He observed a pain in his loins some months before, subsequently found
his testis swollen, but never any pain nor tenderness in it. Never
received any injury. It gradually increased, and was removed in Sep¬
tember 17, 1857. It was two pounds in weight.
Sent to Mr. Hilton by Mr. - .
235250. Cystic disease of the testis, formerly called malignant. The
section shows the tumor to be large, and evidently of a
fibrous structure, in which are contained numerous small
cysts.
Removed by Mr. Key.
2353. Cystic disease of the testis. The tunica vaginalis is very
much thickened, and adherent to the growth within. The
latter apparently is fibrous, and contains numerous cysts ;
some of these hold pedunculated bodies. Above is a solid
growth, which may be the epididymis uniformly solidified.
235350. Fibrous disease of the testis. This constitutes a very large
tumor composed of fibro-plastic tissue, and containing
some small points of cartilage within it.
R. E., aged 25, admitted under Mr. Birkett, 80th July, 1860.
Three years before he had typhus fever, and soon afterwards he per¬
ceived that his right testis was enlarged. It gradually increased until
three months before admission, when it was punctured. After this it
more rapidly increased. The tumor was uniform, of the shape of the
testis, of red colour, and throbbing. It was firm throughout, except
in some parts where it was softer. An incision was made, and some
serum evacuated ; subsequently the whole tumor was removed. Re¬
covered.
See drawings before and after removal.
123
2354. Testis, showing chronic inflammation, with fungating granu¬
lations protruding through the ulcerated scrotum.
235420. Section of a testis, showing a number of small white hard
tubercles in its substance. Also, the epididymis converted
into a soft friable yellow mass of apparently scrofulous
matter. The vas deferens was found thickened, and its
interior was lined by the same material throughout its
whole length as far as the prostate. The interest of the
specimen is in the fact of this apparently scrofulous
material being associated with melanoid cancer in other
parts of the body.
George C., aged 32, under Mr. France for malignant disease of the
eye, and subsequently melanoid growths affected various parts of the
body.
Prep, eye, 166960 ; heart, 140015 ; bladder, 210420.
Insp. 119. 1859.
2356. Carcinoma medullare of the testes. When recent, was soft
and pulpy.
Removed by Sir A. Cooper. Injected by Mr. Morgan.
2357. Testes affected with carcinoma medullare.
Removed by Sir A. Cooper from - Calcrow.
See also prep, of vena cava obstructed, 1523 ; a femoral artery, 1527.
235850. A section of cancerous disease of the testes ; injected. This
exhibits well the difference between the primary cancerous
growth and the yellow dead material into which it degene¬
rates. The latter preserves its white appearance, while
the cancer is coloured by the injection.
Removed by Mr. B. Cooper in 1843.
2359. Testes much enlarged by carcinomatous disease. Several
parts are softened, and others contain yellow dead matter.
124
Sir A. Cooper.
2360. 11 Testes affected with fungoid disease, removed by Mr. Dodd
from a young man in Dean Street. After several months
the disease has not returned, but the patient continues as
before the operation, the subject of epileptic fits.” This
is not cancer, but a very good example of cystic disease.
The section exhibits numerous small cysts scattered
throughout the structure, and it appears also as if the new
growth had completely occupied what would otherwise
have been cysts.
236050. Carcinoma of the testes ; injected. The section shows the
presence of numerous small cysts.
2361. Carcinoma medullare of the testes, removed after death.
The section shows the material softening in parts. The
patient appeared to die from an inflammatory process
which took place around the diseased structure. No
examination of the body took place.
J. K., aged 28, under Mr. Ivey.
5. Green Insp. Book, p. 150.
23 6 125. Carcinoma of the testes ; injected.
John S., aged 30, under Mr. Cooper, in 1828, for this disease. He
at the same time was suffering from hemiplegia and a cough. After
death the lungs were full of cancer, and the cerebrum contained a
growth on the left side.
See prep. 157 664.
1. Misc. Insp. Book, p. 15.
23 6150. A large carcinomatous testis, from a child two years old,
which distended the scrotum, and formed a large tumor
at the lower part of the abdomen.
See wax model, 53 and 54.
Presented by Montague Gosset, Esq.
236175. Section of a testicle affected with carcinomatous disease.
It is considerably enlarged, and the adventitious structure
is in a state of softening.
Removed by Mr. Key.
125
23 6 180. Medullary carcinoma of the testes. A good example of the
very soft variety.
Thomas T., aged 56, under Mr. Hilton, March, 1855, living at
Fareham. One year before, he observed his right testis beginning to
swell, and this gradually increased until admission, when it was excised,
a small hydrocele accompanying it.
See drawing, 41 957.
236180. Testis affected with carcinoma medullare, from Henry D., a
patient of Mr. Cock. Throughout its substance is seen
a number of yellow masses, which are either the decayed
cancerous matter or lymph in a state of degeneration.
The specimen is preserved in order to show how this
adventitious material exactly corresponds with what in
other cases is usually styled scrofulous.
236190. Cysto-carcinoma of the testes. The section shows a number
of small cysts scattered through the substance of the
tumor, and in many of these pedunculated bodies are
attached. All trace of gland tissue is gone. The growth
is soft and pulpy, consisting for the most part of nuclei
and nucleated cells. It was this suspicion of its malig¬
nancy which caused it to be called carcinoma rather than
cysto-sarcoma.
J. R. S., aged 26 years. He stated that four years before he had a
gonorrhoea, and discharge ever since ; that two years ago his right
testis began to swell, but without pain. It was the size of an orange,
and the inguinal glands slightly enlarged.
Removed by Mr. Cock, April 17, 1858.
2362. Enchondroma of the testis. This is a very old specimen, and
described formerly as a transparent matter filling the
seminiferous tubules. It was subsequently thought to be
colloid cancer. It is, however, very hard, and by micro¬
scopic examination displays in a most distinct manner its
cartilaginous structure.
126
EPIDIDYMIS.
2363. u Section of testis and epididymis; the latter is enlarged,
and appears to have been the seat of an abscess or scrofu¬
lous deposit. Its tunic is completely encased in bony
deposit.” It cannot now be positively said what is the
exact nature of the disease.
23635. Section of testis and epididymis, with small patches of earthy
deposit, dried and immersed in spirit of turpentine. The
corresponding section to the preceding preparation.
23 6350. Epididymis affected with scrofulous deposit.
2365. Testis and epididymis. The latter is said to be the part
affected by the cancerous disease ; the testis remaining
nearly healthy. There was also hydrocele.
Removed by Mr. Key.
236550. Testis and epididymis, with small collections of scrofulous
matter in the latter. They communicate by small sinuous
passages, with a scrotal abscess.
Case of William H., who died under Mr. Morgan’s care in 1831, of
stricture and diseased kidney.
See kidney, 203125; and bladder, 209188.
2. Misc. Insp. Book, p. 118.
VAS DEFERENS & VESICULiE SEMINALES.
2366. Epididymis with vas deferens and rete testis filled with
mercury, and showing a blind aberrant vessel proceeding
from the epididymis.
127
2 3 6 62S. Section of a carcinomatous mass, involving the spermatic
cord.
23 6 650. Bladder, the base of which shows deficiency of one ureter
and both vasa deferentia. The vesicular seminales and
prostate are imperfect. The bladder is thickened, con¬
tracted, and inflamed both within and without.
From J. M., aged 18, who had long suffered from urinary symptoms.
See kidney, 202228; intestine, 1 82 185,8G.
5. Misc. Insp. Book, p. 32.
2367. A testis, showing the epididymis enlarged, and of an irregular
figure, and a mass of tuberculous matter in the vas
deferens. The latter has softened, so that small cavities
have been formed.
William T., under Dr. Back in 1826 for tubercular disease in various
organs.
See peritoneum, 2445.
1. Green Insp. Book, p. 11.
236720. Section of a large fibro-plastic tumor, removed from the
spermatic cord.
George W., aged 26, admitted under Mr. Hilton, October, 1860. As
long as he could remember he had had a lump in the groin, and this
had gradually increased in size. The tumor being soft, was tapped,
and an ounce of clear fluid was drawn off. Subsequently the whole
growth was excised. It was found attached to the cord, and the testis
was healthy.
Drawing. Wax model.
2367s5. A portion of the vas deferens, about a quarter of an inch
in length.
Removed by Mr. Key.
23 6744. Ossified vasa deferentia.
Case of John W., aged 89, under Mr. Morgan in 1844. Various
senile changes existed in the body, and he had a double hydrocele.
See tibia, 121750 ; and heart, 138446.
20. Misc. Insp. Book, p. 2.
128
23 6750. Scanty or imperfect vesicular seminales*
236770. Parts concerned in inguinal hernia. The spermatic cord
appears somewhat wasted, but the fibres of the cremaster
muscle are remarkably strong.
From Hoo-Loo, the Chinese from whose scrotum an immense tumor
was removed by Mr. Key.
Prep. 162Q69., &c.
236780. A melanotic tumor growing on the spermatic cord.
James H., aged 60, who died under Mr. Birkett’s care with melanotic
tumors growing all over the surface of the body.
Drawings, 18 826,27 and 4635 ; models, 2935,6 ; prep, of omen turn’
24645, and heart, 140025.
Insp. 56. 1854.
23 6790. Tubercular disease of the vesiculse seminales.
Man, aged 58, who died under Dr. Babington of general tuberculosis.
Insp. 51. 1854.
23 6795. Calculi, removed after death from the vesiculse seminales.
Richard F., aged 46, under Dr. Addison in 1854, for cerebral abscess.
Insp. 222. 1854.
23 6798. Tubercular disease of the vesicular seminales and prostate.
William N., aged 58, under Rees for general tuberculosis.
Insp., 105. 1857.
TUNICA VAGINALIS.
2368. Tunica vaginalis, open to the abdomen. Prom a child.
2369. Tunica vaginalis, open to the abdomen. From an adult.
23 6950. Hydrocele of the spermatic cord.
2370. Tunica vaginalis affected with hydrocele, and continued open
to a considerable distance along the cord.
129
R
237050. Sac of hydrocele, dried.
Case of Samuel W., who was under Dr. Addison in 1840, and died
of granular kidney and diseased heart. The hydrocele held about four
ounces of fluid.
17. Misc. Insp. Book, p. 103,
2371. Testis, tunica vaginalis and cord, with hydrocele of both;
injected and laid open.
237150. Testis and tunica vaginalis injected ; the latter distended
by hydrocele. Some small cysts attached to the epi¬
didymis.
2372. Tunica vaginalis affected with hydrocele. The testis is
situated at the bottom of the cavity.
2372s'5. Testis, with the tunica vaginalis affected with hydrocele;
the surface of the testis is rather irregular from the state
of the serous membrane. There are some bridles which,
perhaps, are rather to be considered as congenital folds of
the tunica vaginalis, than the result of acquired adhesions.
237270. Hydrocele, apparently of the cord. From Thomas M., who
also had ossific plates on the spinal cord.
Prep. 156245.
2373. Tunica vaginalis which has been affected with hydrocele,
injected with fine injection, dried, and immersed in spirit
of turpentine.
2374. Dry preparation of injected hydrocele.
2375. Tunica vaginalis, considerably dilated by hydrocele and
crossed by membranous bands of adhesion.
237G. Tunica vaginalis testis which has been affected with hydro¬
cele ; a very delicate false membrane appears to have
completely lined the reflected portion, but is not adherent
to it.
130
2377. Encysted hydrocele or spermatocele; being a cyst about the
size of a walnut, formed in the testis beneath the visceral
tunica vaginalis. The serous membrane is also open to
the abdomen.
2378. Hydrocele of the cord. This is a large cyst, the size of a
cricket-ball, and with very thick walls, and apparently
quite shut off from the tunica vaginalis.
237850. Testicle showing the cavity of hydrocele filled with lymph.
This is probably after injection.
2379. Tunica vaginalis, having its two surfaces partially adherent,
and affected with hydrocele.
237910. Two testes with tunica vaginalis of same subject, which had
been the subject of htematocele, and injected. In one
the cavity is seen to be quite closed. In the other the
sac is seen filled with recent lymph of a few days’ for¬
mation.
Drawing, 41420. Insp. 28. 1859.
2380. Tunica vaginalis, having its two surfaces adherent by means
of a delicate adventitious cellular tissue.
2381. Testis injected ; with the two surfaces of the tunica vaginalis
closely and intimately united.
238125. Tunica vaginalis, very much thickened by chronic inflam¬
mation. There has probably been a successive deposition
of lymph on the surface of the serous membrane, until it
has at last reached the present size ; this has occurred to
so great an extent that it might even be styled with pro¬
priety a tumor.
Presented by Mr. J. Adamson, Rye.
238150. Testicle, with a portion of the tunica vaginalis, which
exhibits considerable traces of inflammatory lymph ; a
small, loose, smooth, round body was found in the cavity
of the tunic, and is preserved in the preparation.
131
238176. The sac of the tunica vaginalis, said to have separated by
sloughing, after being operated on by Mr. Key for evacu¬
ation of fluid.
2382. A small bony or earthy body from the tunica vaginalis.
2o82 5. A small earthy body found in the tunica vaginalis.
2382 . Tunica vaginalis distended by hydrocele, and presenting
numerous spots of bony matter. An injected preparation
in turpentine.
Mr. Key.
2383. Section of a bony deposit forming a complete case to the
epididymis ; immersed in spirit of turpentine. It appears
to have been formed immediately under the close portion
of the tunica vaginalis.
2384. A hasmatocele of large size ; the section showing the coagu-
lum in layers.
238420. A large hematocele ; it is about the size of an orange, and
the tunica vaginalis much thickened ; the interior some¬
what resembling the interior of an old aneurismal sac,
being lined with filamentous and laminated pieces of
fibrin. The testis is flattened behind the tumor.
A man, aged 40, had had a swelled testicle on right side since child¬
hood ; but only commenced to become very large about two months
before admission. It was tapped, but no fluid came away ; therefore
Mr. Poland removed the whole tumor, January 17, 1860. When
opened it proved to be a degenerated hmmatocele ; the blood being
changed into a grumous, chocolate-coloured matter, and cholesterine.
The patient was ill with peritoneal symptoms for some weeks aftenvards,
and at the same time had swelling and suppuration of the glands of
the neck.
238440. A sack of hasmatocele, containing some layers of fibrin on
the surface.
238460. Section of hasmatocele, removed by Mr. Hilton, June, I860,
from John E., aged 19, who had had enlarged testis ever
since he was two years old. The tunica vaginalis is much
thickened.
132
2385. Blood, rather grumous than coagulated, removed from a
hsematocele by Sir A. Cooper.
238550. Small pedunculated cysts attached to the tunica vaginalis,
covering the epididymis.
SCROTUM.
2386. Portion of scrotum affected with chimney-sweepers’ cancer.
Old Museum Book, No. 263.
23 8 650. Chimney-sweepers’ cancer.
2387. Portion of the septum scroti affected with chimney-sweepers’
cancer.
Removed by Sir A. Cooper from an out-patient. The other half is
in the museum of St. Thomas’.
Old Museum Book, No. 48.
23 8735. A portion of scrotum exhibiting the ulcerated surface of
chimney-sweepers’ cancer.
Removed by Mr. Key. Model, 91,
238770. Chimney-sweepers’ cancer.
Removed by Mr. Morgan.
PROSTATE.
238785. Portion of bladder, exhibiting an early stage of enlargement
of the so-called third lobe of the prostate.
238862. Section of enlarged prostate, showing distinct round fibrous
growths or tumors within it.
133
2389. Third lobe of prostate much enlarged; bladder dilated, its
muscular coat much thickened, and the ureters greatly
dilated.
238935. Great enlargement of the third lobe of the prostate. The
bladder and ureters are dilated, and the former is saccu¬
lated.
William W., aged 65, under Mr. Key for retention of urine, in 1859.
He died of suppuration of the kidneys.
16. Misc. Insp. Book, p. 49.
238970. Base of the bladder, with enlarged prostate. Some
cystitis, with thickening and dilatation. The third lobe
is perforated.
Henry P., aged 51, who was under Dr. Bright’s care for phthisis in
1836. He had had difficulty of micturition, and been often catlieter-
ized. He died of suppuration of the kidneys.
8. Misc. Insp. Book, p. 97.
238975. Prostate, very greatly enlarged. The lateral lobes are of
very great size, as well as the third lobe, which projects
as a large tumor into the bladder. The urethra runs
through the midst of the organ, and the latter is also
penetrated by a canal which, however, does not quite
perforate it. This is probably from the effects of
catheterism. The portion of bladder attached is much
hypertrophied.
William K., aged 77, under Mr. Cock in October, 1844. For four
years he had difficulty in micturition, requiring the occasional use of
the catheter. On admission he had had retention for some years, and
wTas relieved, after some trouble, by a flexible catheter. He subsequently
was under the care of Mr. Smith of Crawdey, who forwarded the speci¬
men. The symptoms gradually increased in severity until his death,
in March, 1856.
238980- Perforation of the prostate.
Case of M., an African, aged 60, to whom Mr. B. Cooper was called
for retention of urine. He had long laboured under difficulty in making
water, and had been in the habit himself of passing catheters.
2. Note-book, p. 28.
134
2390. Third lobe of the prostate enlarged; the bladder little
thickened, but considerably dilated and sacculated.
2391. Prostate considerably enlarged, with false passages through
the middle lobe ; the bladder dilated, and its mucous
membrane sacculated.
239 125. Bladder and prostate; the latter seems simply and greatly
hypertrophied. There is a pretty uniform adventitious
layer on the mucous surface of the bladder (the effect of
cystitis) partially tinged with blood.
Presented by Mr. John Birkett.
2391s5. Abscess in prostate, with an abnormal opening in the
urethra immediately under the glans penis.
239 1'50. Bladder and urethra, with the prostate greatly enlarged in
all its lobes. The surface of the middle lobe is rendered
rather irregular by ulceration, and at its anterior part
appears to have been perforated by an instrument. There
is also a considerable abscess at the side of the urethra a
little before the membranous portion.
A patient of Mr. B. Cooper.
Model, 1005.
2392. Prostate gland much enlarged, apparently from scrofula.
This preparation appears to have been taken from a young
subject.
2393. Bladder and prostate; the latter much enlarged from scro¬
fula. This preparation was taken from the body of a child.
23 9 37'5. Prostate, showing in its cut surface deposits of tuberculous
matter. The bladder also shows a similar disease in its
mucous membrane.
John B., aged 23, under Dr. Bright in 1843 for acute hydrocephalus
and general tuberculosis.
19. Misc. Insp. Book, p, 141.
135
\
2394. Sections of the prostate gland, dried and immersed in spirit
of turpentine, to show numerous small imbedded calculi.
239450. Prostate, showing numerous little calculi in its cut surface.
239400. Prostate containing numerous calculi lodged in small cavities
in its substance. The calculi are small, round, semi¬
transparent, and of a brownish-yellow colour.
239470. Prostate, with a Calculus imbedded in it, and showing itself
on the urethral surface.
2495. The bladder, prostate, and urethra, showing each lobe of the
prostate distended by very large calculi. There is also
one projecting quite into the neck of the bladder, and
apparently impacted in it. At the anterior portion of
the urethra a small abscess is seen, which also contains
calculous matter.
Mr. Kev.
2396. Prostate gland, with a pouch containing one or more calculi
in each lateral lobe.
Sir A. Cooper.
239 650. Prostate, containing a calculus in each lobe. The bladder
also has tufts of a villous fungus growing from its mucous
membrane.
2397. Prostate gland with a calculus lodged in it.
23975. Calculus in the prostate gland.
William R., aged 52, under Mr. Birkett for stricture, perineal fistula,
&c., from which he had suffered for nine years, dying eventually of
disease of the kidneys.
Record of Insp. 139. 1854.
2398. Part of the bladder, with the prostate gland and part of the
penis, showing a large sacculus in each lateral lobe of the
prostate, which, becoming distended with urine, for several
136
years occasioned very great impediment to micturition.
The patient used to empty these pouches by pressure
on the perineeum. These sacculi appear to have been
secondary to stricture of the urethra.
Presented by Mr. Griffiths of Wrexham.
239825. A pouch formed in the prostate gland in a case of stricture
of urethra.
John C., aged 34, under Dr. Bird in 1849 for disease of the heart.
239840. A large prostatic cell. Dried.
23 9850. Prostate after lithotomy, showing the section completely
repaired.
From Mr. Bryant’s collection.
239880. Prostate, showing a considerable sac in each lobe, and
apparently lined by a mucous membrane. The urethra
appears strictured throughout its course.
Joseph V., aged 53.
6. Misc. Insp. Book, p. 1.
2399. Part of bladder, with the prostate and part of penis, showing
the prostate hollowed out so as to form a cavity separated
from the bladder by a projecting portion of membrane
occupying the position of the third lobe. The patient
had stricture.
PROSTATIC CALCULI.
2400. Calculi, taken from the prostate gland by Mr. Key.
240035. A small calculus from the prostate. Its structure is by no
means compact. Taken from same patient as produced
2400, but at a subsequent period to these specimens.
Mr. Key.
240040. Calculi of some size, removed from prostate after death.
240070. Calculi, removed from the prostate; they are polygonal,
and their form appears to be modified by mutual contact.
Presented by Mr. J. Pugh.
URETHRA.
240 138. Stricture in the extreme two inches of the urethra, with a
sinus in the glans.
John A., aged 55, under Mr. Key in 1843, for stricture which had
existed 13 years. He died of perineal abscess and disease of the kidney.
19. Misc. Insp. Book, p. 265.
24017°. Urethra, strictured for some length in the middle of the
corpus spongiosum. The bladder hypertrophied.
240187. Urethra, considerably narrowed at commencement of the
spongy portion. Bladder much hypertrophied.
George C., aged 37, under Dr. Addison in 1845, for phthisis.
New Vol. i. p. 50,
240210. Urethra, with stricture at commencement of spongy portion,
with surrounding induration. There is a valvular fold
close to the stricture, which probably has been caused by
the use of the catheter.
Richard B., aged 55, under Dr. G. Bird in 1850, for Bright’s disease.
New Vol. iii. p. 90.
240225. Stricture near the glans penis. The urethra was laid open
in the perineum ; and the patient subsequently died of
pyaemia*
W. C., aged 40, under Mr. Cock in 1845.
New Vol. i. p. 24.
138
240250. Urethra,, closely strictured about the middle of the spongy
portion. The whole of the canal anterior to it is also
narrowed.
Timothy M., aged 50, who died of injury and pyaemia in 1844.
19. Misc. Insp. Book, p. 305.
240360. Narrow stricture of urethra in membranous portion.
From a patient under Mr. Birkett in February, 1850.
Drawing, 42 060.
2405. Bladder and urethra showing imperforate stricture and a
false passage. The patient died of extravasation of urine.
Mr. Key.
240525. Urethra, showing stricture at commencement of the spongy
portion ; also false passages. Bladder hypertrophied.
2406. Bladder and urethra: the latter badlv strictured at the end
of the membranous and commencement of the spongy
portion. There is a false passage, and the urethra is dis¬
tended behind the urethra.
240750. A considerably enlarged bladder with the urethra. At
each side of the caput gallinaginis, and a little anterior to
it, is an opening of some extent, communicating with a
blind canal, about an inch in length, passing at the side
of the urethra ; they appear to be lined by a mucous
membrane, and not to be wholly artificial false passages.
The mucous membrane of the bladder is sacculated ; the
prostate slightly enlarged, more especially the middle
lobe, which appears to form a valvular obstruction to the
urethra.
Thomas J., aged 65, under Dr. Addison in 1835, for Bright’s disease.
See prep, kidney, 204240, and heart, 14038k
7. Green Insp. Book, p. 12.
240775. Portion of bladder and urethra, showing the latter strictured
at the usual position. There are numerous false passages,
and a small abscess outside the canal.
139
240785. Stricture, small and narrow, two inches from the caput
gallinaginis, having two false passages on either side.
John M‘M., aged 45, under Mr. Key in 1847, for stricture and
phthisis.
New Vol. i. p. 285.
240810. The middle of spongy portion of urethra, which is quite
impervious by stricture. Nearly the whole canal is
destroyed, and its place occupied by a series of cavities
contained in a dense fibrous tissue. The part preserved
shows the original canal perfectly closed.
William G., aged 61, under Mr. Hilton. He had had stricture many
years, and perineal fistula, through which the urine escaped.
Insp. 129. 1857.
2409. Bladder and urethra, showing imperforate stricture, false
passage, and perineal abscess. There are small caruncles
in the urethra, a little anterior to the membranous portion.
The bladder much thickened.
Richard L., under Mr. Cooper in 1826.
1. Green Insp. Book, p. 143.
240920. Bladder and urethra, showing stricture of the latter. The
canals seen in front, in which the glass rods are placed, do
not communicate, although they nearly approach each
other, the urethra being quite closed. The portion of
membrane seen between them, about two inches in length,
constituted a false passage before it was opened, and led
from the anterior end of the urethra, but did not quite
reach the posterior portion. The bladder is hypertrophied.
James G., aged 39, under Mr. Hilton for perineal abscess. He died
of pleuro-pneumonia.
Insp. 34. I860.
2410. Bladder and urethra, showing stricture of the latter, with
numerous false passages, one of which has perforated the
prostate.
2411. Bladder and urethra, showing stricture and a large caruncle
or papilliform elongation of the mucous membrane a little
140
anterior to the verumontanum. The patient had symp¬
toms of stricture, which was relieved by bougies. Died
suddenly from the rupture of an aneurism into the chest.
William R., aged 40, under Mr. Key in 1827.
See prep. 1454.
3. Green Insp. Book, p. 17.
24129. This is an old preparation, having no history and no minute
description. The urethra has evidently been strictured,
and otherwise much diseased. The bladder is remarkably
contracted into a lengthened passage, the upper part of
which opens by a fistulous communication with the umbi¬
licus. The parts adjacent to the bladder externally appear
also to have been closely adherent.
Drawing, 365.
241218. Bladder and part of the urethra, with extensive abscess
between the bladder and rectum in consequence of stric¬
ture. The bladder is sacculated, and a small calculus is
impacted in its parietes, but appears to retain no com¬
munication with the cavity, although near the opening of
the ureter.
Patient of Mr. Key.
241220. Bladder and urethra, showing false passages and an abscess
between urethra and rectum, the consequence of stricture.
The direction of the passage made by trocar shown by
glass rod.
Charles J., aged 31, admitted under Mr. Cock in 1847. A catheter
could not be passed, and he had an abscess at the neck of the bladder.
A trocar passed through the rectum entered this space, and a little water
drawn off. Subsequently died of peritonitis.
New Yol. ii. p. 41, and Med. Chir. Trans., vol. xxxv. p. 184.
241227. Bladder and urethra. The former is very much thickened,
and very much sacculated ; the latter affected with
aggravated permanent stricture. There appears to have
been a false passage, and a considerable abscess, as well
as large pouches, in the prostate gland.
141
241230. Bladder and urethra. The latter is strictured at the com¬
mencement of the spongy portion ; the urethra behind is
much diseased, and suppuration extends into the prostate.
Immediately behind the prostate an opening is seen — an
opening made by the trocar, which had been used to
puncture the bladder through the rectum. A probe
passed into this could, after some difficulty, be made to
penetrate to the rectum, about three inches above the
anus.
Joseph S., aged 55, died from suppuration of the kidneys, following
stricture, on August 26, 1857, under Mr. Birkett’s care. On July 18,
1856, he had been admitted for retention, due to stricture of seven
years’ standing. The bladder was punctured per rectum, the canula
retained six days, and then removed. When he left the hospital soon
afterwards, a catheter could be passed down the urethra, and the urine
never escaped by the rectum except the bladder was over-distended.
Insp. 160. 1857.
2412s5. Bladder and urethra, showing stricture at the usual spot.
Immediately behind the prostate a perforation was seen,
corresponding no doubt with the opening made by the
trocar in the operation during life. Into this a probe
could be passed for some distance as far as the mucous
membrane of the rectum, but not through it. At the
place, however, where the probe was felt, a dark spot
was seen, where no doubt the instrument had entered.
John D., aged 30, died August 9, 1859. He had been admitted into
the hospital for retention on October 15, 1858, and the bladder wras
punctured per rectum by Mr. Bryant, the man soon after leaving
relieved.
Insp. 137. 1859.
241 236. Base of bladder fifteen years after lithotomy. A small
harmless perineal fistula remained, and even a communica¬
tion with the rectum. The seminal apparatus quite free.
George M., aged 33, died in 1834. He had been operated on by Sir
A. Cooper, and the gorget used.
5. Misc. Insp. 35.
241 245. Bladder, penis, and rectum, with an abscess posterior to the
neck of the bladder, which appears to have been the result
142
of stricture and false passages ; the surrounding cellular
structure much thickened and indurated.
241263. The bladder and part of the penis. The urethra is oblite¬
rated for upwards of an inch anteriorly to the bulb. The
deficiency in the canal is made up by a false passage two
inches in length.
Case of Nathaniel W., aged 50, who was under Mr. Key in 1830 for
extravasation of urine, which appears to have left the parts in a state
approaching to sphacelus.
1. Misc. Insp. Book, p. 136.
241273. Bladder, rectum, and part of the penis. The urethra is
torn through in its membranous portion from an injury,
but of what kind is not stated.
241281. Bladder and a small portion of the urethra. From a little
boy who accidentally fell upon the edge of a tub and
produced a complete division of the urethra immediately
anterior to the prostate. He died five days afterwards
from extravasation.
Mr. Key.
2. Note-book, p. 27.
241290. Bladder and penis, with two calculi deposited within the
lacunae of the urethra, an inch anterior to the membranous
portion. Several calculi were deposited in cysts, situated
in the prostatic portion of the urethra. There is a stric¬
ture immediately behind, and connected with the seat of
the calculi in the spongy portion of the urethra. Two
false passages pass through the prostate and re-enter the
bladder. Several large cysts are contained in the prostate.
The walls of the bladder are thick, muscular, and occupied
by sacculi of various sizes.
There is no history of this case, hut a note speaks of the calculi not
being true stones, but artificial ones, and therefore it must be supposed
that they were introduced from without.
143
URETHRAL CALCULI.
2413. Three urethral calculi, apparently consisting of lithic acid.
Removed by Sir A. Cooper.
241350. Urethral calculus, composed of lithic acid, with traces of
the urates of soda and lime ; also, traces of oxide of iron
were detected.
Analyzed by Mr. Brett.
2414. Urethral calculus. Nucleus, oxalate of lime, with a coating
of fusible matter. Weight, 11^ grains.
Removed by Mr. Key. Analyzed by Dr. Babington.
241450. Calculi, removed by incision from the urethra just below
the glans.
From Mr. Bryant’s collection.
241475. Urethral calculus.
Removed by Mr. Bryant of Kennington.
2415. Two urethral calculi, consisting of fusible matter.
Removed by Mr. Sudlow Roots of Kingston.
241 530. Calculus, removed by incision from the urethra, just below
the glans.
From a child 2J years old.
From Air. Bryant’s collection.
2416. Urethral calculus, of which the nucleus is a straw.
Removed by Sir A. Cooper.
241 G35. Urethral calculi.
24 1G70. A small calculus, extracted from the urethra, consisting of
oxalate of lime and animal matter.
144
Mr. Talent.
CATHETERS.
2417. Mixed metal catheter, mended in three places with pack
thread, in which state it had for some time been used by
a tailor.
2418. Mixed metal catheter, which broke in the bladder, and was
removed by operation by Mr. Key in 1825.
241 810. Flexible catheter, of which the lower end was broken into
the bladder, and removed by extraction.
Alfred B., aged 24, the subject of an imaginary stricture, for the
relief of which he had long been in the habit of using a gum catheter.
In June, 1858, he broke off a large portion into the bladder, and came
to the hospital for assistance. Mr. Hilton, by means of the lithotrite,
removed it in pieces at various intervals, and the man left well in
September.
INTEGUMENTS OF PENIS.
2419. Penis, of which the integuments are in a state of sphacelus.
An injected preparation.
241 920. Bladder and penis, showing the latter contracted behind
the glans in consequence of ulceration or sloughing of the
prepuce, which laid the penis bare for some inches.
241 940. Portion of redundant and thickened prepuce.
Removed bv Mr. John Morgan.
24 1950. Phymosis circumscribed.
LangstafF’s Museum.
T
145
2419'’5. Prepuce removed for phymosis.
Mr. Hilton.
2419c0. Prepuce affected with phymosis and chancre externally.
Amputated by Mr. Morgan.
24198'. Prepuce affected with phymosis and chancre, both on the
internal and external surfaces, the former of which is
somewhat everted.
Removed by Mr. C. A. Key.
241990. Broad chancre of the penis, two weeks old, removed by
A. Tweedie, Esq., in 1840, for the purpose of cure.
241 99,5. Gians penis, which sloughed off from a man, aged 79, in
Luke, under Mr. Birkett, February, 1854. He had had
a blow on the penis six weeks before, since which time it
• had become gangrenous. Healed well.
2420. Extremity of the penis, showing a chancre opening into the
urethra and separating the glans from the corpora caver¬
nosa.
242050. Section of an injected glans penis superficially ulcerated.
The part was removed. There is a tendency to cicatriza¬
tion.
2422. Extremity of the penis much enlarged by epithelial cancer in
cauliflower-shaped excrescences.
Removed by Sir A. Cooper.
Old Museum Book, No. 192.
242zJ0. Extremity of penis, injected after amputation ; it is affected
with a very minutely warty ulceration.
423. Penis affected with malignant disease, and exhibiting large
cauliflower-shaped granulations. Removed from a patient
in the hospital by J. Morgan, Esq. The portion at the
upper part of the glans wras removed subsequently, the
disease having reappeared at the root of the penis.
2424. Prepuce, the edge of which is completely surrounded with
small, malignant, cauliflower excrescences of epithelial
cancer.
Removed by Mr. Key.
242410. Epithelial cancer of prepuce of warty character.
2425. Section of penis, showing cancer of the prepuce near the
frsenum, extending to the glans.
Injected by Sir A. Cooper.
2425°. Section, counterpart to 2425.
242550. Stump of the penis with the urethra invaded by cancerous
growth.
O
Amputated by Mr. Cock.
2427. Section of the anterior part of the penis, injected, showing
cancer of the prepuce about the frsenum and extremity of
the glans.
242720. Extremity of the penis, showing carcinoma of the glans and
prepuce. An injected preparation.
Removed by Mr. Ke}r. »
242740. Portion of the penis, with malignant warty excrescences on
the glans and prepuce.
Removed by Mr. Ik Cooper.
242 749. Warty growth from the prepuce.
Mr. Cock.
242 7 A Stump of penis after amputation, and portions of cancerous
material removed from lymphatic glands after death.
John B., aged 50. At end of year 1854 be observed a small lump
on the glans penis, and which rapidly grew into a warty tumor. This
was removed in May by Mr. Hilton, in such a manner that the corpus
spongiosum was half an inch longer than the corpora cavernosa, and
thus retraction of the urethra prevented. Left well in June. Soon
afterwards the glands in the groin became enlarged, and he was read¬
mitted with open cancerous sores in each groin. These discharged
greatly, as well as bled.
Drawing, 447/in,51> Insp. 59. 1856.
147
2 4 2 765. Portion of the external genital organs, showing how the
penis has been entirely destroyed by syphilis ; a smooth
surface merely remaining beneath the pubes. The testes
of moderate size ; prostate small.
William J., aged 33, died under Dr. Addison’s care with phthisis and
lardaceous disease. It was observed during life that he had no penis,
and that in fact he resembled more a female than male, a3 regarded
these parts, and that he micturated in the sitting posture. He was
otherwise well developed as a man. He was silent about his infirmity ;
but after his death it was learned that he had been in the hospital
twenty years before, under Mr. Key, for phagedama of the penis, at
which time the organ was wholly destroyed.
Insp. 133. 1857.
242 700. Carcinoma of the glans penis.
James S., aged 71, under Mr. B. Cooper in 1834.
Prep, of heart, 144932 ; pleura, 177780.
6. Misc. Insp. Book, p. 82.
242 760. Cancer of penis.
Removed by Mr. Hilton, August, 1854.
242 770. Cancer of penis in early stage, showing how, from the
prepuce and glans being contiguous, each part is affected.
The microscope showed well marked epithelioma.
Henry W., aged 28, under Mr. Hilton in March, 1856. Twenty
years before he lacerated the prepuce ; the wound soon healed, but he
had never since been able thoroughly to expose the glans. Six months
before admission he observed a wart between the prepuce and glans,
and which increased until it had involved half the surface of each.
Removed and left well.
242780. The genital organs, including the penis and testes of a man
extirpated by himself from religious motives.
Robert B., after attending a Bethel union on board a collier at Erith,
in a fit of religious melancholy amputated his genital organs with a
razor, and threw them under the galley fire.
2428. Prepuce and part of the glans penis covered with malignant
cauliflower-shaped warty granulations.
Removed by Mr. Key.
148
2428°. Epithelial cancer of the penis.
Removed by Mr. Cock from John B., October, 1854.
242810. Prepuce and glans penis, the subject of epithelial cancer,
a good example of the cauliflower excrescence.
A man, aged 67, under Mr. Birkett in 1854. The disease began on
the inside of the prepuce, and ate its way through forming an excrescence
on the surface. The glans is not infiltrated, but surface next to corona
is ulcerated.
2429. Dried extremity of the penis, with a calculus lodged under
the prepuce.
MALE MAMMA.
2430. Mammary gland from the adult male, of rather large size.
243010. Largely developed mammary glands from an imperfectly
developed male. When on the body they appeared almost
as large as those of a woman, with a good-sized nipple
and areola. The gland structure distinctly made out by
the microscope.
They came from the body of a young man about 25 years of age,
which was in the dissecting-room in the winter of 1859. The general
appearance of the body wms feminine. The testes were imperfectly
developed.
See prep, and models, 170 and 171.
Guy’s Hosp. Rep., Series III. vol. vi. p. 424.
2431. Male mammary glands, of large size, from a person of colour.
243 L°. Mammary glands, of large size, removed from an imperfect
male.
From the body of Mary C., aged 55, who had passed both as a male
and female. The genital organs were imperfectly developed.
See prep. 254535; and casts 171 and 271.
8. Green Insp. Book, p. 85.
149
2432. Male mammary gland, enlarged in size, and thought to be
affected with scirrhous cancer. The areola not quite
healthy.
2433. Male mamma affected with scirrhous cancer, and some ap¬
pearance of cancerous ulceration.
2434. Male mammary glands, somewhat enlarged, and apparently
affected with scirrhous cancer.
24347. Mammary gland affected with scirrhous cancer.
Removed from a middle-aged man by Mr. B. Cooper.
Drawings, 448, 449.
2 4 3 421. A large carcinomatous tumor, involving the male breast.
It has also penetrated the chest and destroyed the sternum.
From a lad aged 16, who was under Mr. Travers in 1804 for a tumor
of the thigh, which appears to he osteosarcoma, or osteoid cancer. The
limb was amputated, but the disease returned in the chest.
See prep. 1168.
Old Museum Book, No. 121.
243425. Small carcinomatous tumor removed from the male breast.
It is slightly warty on the surface, and the section shows
the gland and skin infiltrated.
Barnaby G., aged 31, a seaman, found a lump in the nipple about
eight years before. It gradually enlarged, and subsequently the glands
in the axilla became affected, and a few carcinomatous tubercles appeared
in the skin around. It then ulcerated, bled, and w'as painful, and was
consequently excised.
Removed by Mr. Rump of Wells, Norfolk, and sent to Mr. Birkett.
September, 1855.
Drawing, 4495.
TflE END.
William Mackenzie, Printer, 22 Paternoster Kmr, London.
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